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5 . Will the projec <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 /> LJ Owner ' s legal agent (attach proof of the owner 's consent to file <br /> the as ication ) , <br /> and t'Iha pis true and correct. <br /> ' (Signature ) (Date ) <br /> Major Subdivision - 10 - (6/86 ) <br /> Major Subdivision - 11 - (6/86 ) <br />