Laserfiche WebLink
5 . Will the project: <br /> a . generate objectional odors : /1z� <br /> b. generate any discharge into surface waters: / <br /> c . generate or store hazardous materials : <br /> d. expose people to any hazardous materials or situations : <br /> e . displace people: ti"-0 <br /> f . use significant amounts of energy or natural resources : LLI <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions: <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> ❑ Legal Property Owner (owner includes partner, trustee, trustor, or <br /> corporate officer . ) <br /> Owner ' s legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and that the foregoing is true and correct . <br /> /j (Signatu /e ) (Date') ' <br /> Minor Subdivision - 10 - (6/86 ) <br />