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r <br /> 5 . will the project: <br /> a . generate objectional odors : NO <br /> b. generate any discharge into surface waters : NO <br /> c. . generate or store hazardous materials : NO <br /> d. expose people to any hazardous materials or situations: NO <br /> e . displace people: NO <br /> f . use significant amounts of energy or natural resources : NO <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions: NO <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 /> (---I Owner ' s legal a e t (attach proof of the owner 's consent to 4file <br /> the appl' do ) <br /> and th t he fgoing is true and correct. <br /> (Signature (Date ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br />