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r" z <br /> S . Will the project : <br /> a . generate objectional odors : No _ _ <br /> b. generate any discharge into surface waters : Street Drainaqe _ <br /> C . generate or store hazardous materials :_N_o____ <br /> d. expose people to any hazardous materials or situations : No <br /> e . displace people : Nn <br /> f . use significant amounts of energy or natural resources : No <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tiOns : Nn <br /> SIGNATURE <br /> I certify under penalty of perjury that I am ( check one ) : <br /> I^I 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 foregoi is true and correct . <br /> re )`� (Date ) <br />