Laserfiche WebLink
5 . Will the project: <br /> a . generate objectional 'odors : <br /> b. generate any discharge into surface water-s : NO <br /> c . generate or sore hazardous materials : tQ 0 <br /> d. expose people to any hazardous materials or situations :_ <br /> e . displace people : NQ <br /> f . use significant amounts of energy or natural resources : <br /> P70— <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 /> �C Legal Property Owner (owner includes partner, trustee, trustor , or <br /> corporate officer . ) <br /> LJ Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> andel that the foregoing is true and correct . <br /> (Signature ) (Date ) <br /> F09- TET'J?-A D I h&lO IJ D (N C. <br /> Minor Subdivision - 10 - ( 6/86 ) <br />