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5 . Will the project: <br /> a . generate objectional odors : NO <br /> b. generate any discharge into surface wasters: tV0 <br /> c . generate or store hazardous materials : NQ <br /> d. expose people to any hazardous materials or situations: Wim__ <br /> e. displace people: N D <br /> f. use significant amounts of energy or natural resources : N(J <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions: NC) <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 /> uOwner ' s legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and -that the fore/going is true and correct. <br /> (Signature ) (Date ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br /> res+ '' ���A wile+w►k:r.,,,;�k,r#t+.Yr�A:sa+� �w�.; .�, <br />