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5 . tZil? `he project : <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 /> . Z certify under . penalty of perjury that Z am (check one ) : <br /> QLegal Property Owner (owner includes partner, trustee, trustor , or <br />�j corporate officer . ) <br /> uOwner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> an that the foregoing is true and orrect. p <br /> S�.Zd d <br /> (Date ) <br /> j <br /> i <br /> 1 <br /> Minor Subdivision - 10 - (6/86 ) <br /> t <br />