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5 . Will the project: <br /> • a . generate objectional odors : le:14;7 <br /> b. generate any discharge into surface waters : I-f/49 <br /> C . generate or store hazardous materials : <br /> d. expose people to any hazardous materials or situations :,,-e/,- <br /> e . <br /> ituations : /ce . displace people:_ �L�v <br /> f . use significant amounts of energy or natural resources . o <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions: <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 'th'e owner ' s consent to file <br /> the application ) , <br /> and that the re oing is true and correct. <br /> Zh 1-0� <br /> (Si ature ) (Date ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br />