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5 . Will the project: <br /> a . generate objectional odors : <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: c� <br /> . displace people•® <br /> . use significant amounts of energy or natural resources: <br /> . cause con estion on roadways or at interchanges or intersec- <br /> tions: <br /> QSIGNATURE <br /> certify under penalty of perjury that I am (check one) : <br /> Legal Property Owner (owner includes partner, trustee, truster , of <br /> corporate officers ) <br /> Owner ' s legal agent (attach proof of the owner ' s consent.. to file <br /> the plication ) , <br /> an at th ;nu <br /> ` is tr an correct. <br /> t ie (D te ) <br /> Manned District - 22 - (8/86 ) <br />