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5 . Will the 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 s:`_stions : No <br /> e . displace people: <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 /> 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 foregoing is true and correct. <br /> - <br /> , " (Signature ) (Date ) <br /> Please send copies of all correspondence regarding <br /> this application to: <br /> Glantz-Deimler & Associates <br /> 1150 W. Robinhood Dr. #1C <br /> Stockton, CA 95207 <br /> ATTN: Larry Deimler <br /> Minor Subdivision - 10 - ( 6/86 ) <br />