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S . Will the project: <br /> a . generate objectional odors : NO t <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 /> �V. <br /> f,. <br /> I certify under penalty of perjury that I am (check one ) : F. <br /> Legal Property Owner (owner includes partner, trustee, trustor, or <br /> corporate officer . ) <br /> uOwner ' s legal agent (attach proof of the owner 's consent to file € <br /> the application ) , <br /> and that the foregoing is true and correct. <br /> © / oil <br /> ERIC DAHL <br /> (Signature ) (Date ) s <br /> � � . ` <br /> 4 <br /> a <br /> e: <br /> 1 <br /> f <br /> Z <br /> Minor Subdivision - 10 - ( 6/86 ) <br />