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5 . Will the project: <br /> a . generate objectional odors : /f/D <br /> b. generate any discharge into surface waters : "tAo <br /> C . generate or store hazardous materials : 14/0 <br /> d. expose people to any hazardous materials or situations :�(/� <br /> e . displace people: "(/d <br /> f . use significant amounts of energy or natural resources :�� <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions : i/N <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 /> Owner ' s legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and that the f e is true and correct . <br /> y-- <br /> (Signa re ) (Date ) <br /> Major Subdivision - 10 - (6/86 ) <br />