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•5 . Will the project: <br /> a . generate objectional odors : l%L� <br /> b. generate any discharge into surface waters : -r/o <br /> c . generate or store hazardous materials : Bio <br /> d. expose people to any hazardous materials or situations :,-,e--_g2 <br /> e . displace people:_ �L�d <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 /> i Owner ' s legal agent (attach-prbof of 'th'e owner ' s consent to file <br /> the application ) , <br /> and that the re oing is true and correct. <br /> (Si ature ) (Date ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br />