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5 . .will the project: <br /> a . generate objectional odors : No <br /> b. generate any discharge into surface waters : <br /> C . generate or store hazardous materials : 777 <br /> d. expose people to any hazardous materia sr situations : <br /> e . displace people : <br /> f . use significant amounts of energy or natural resources : <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions: �U <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 the owner ' s 'consent to file <br /> the application ) , <br /> and that the foregoing is true and correct . <br /> (Signa u r e (Date ) <br /> Minor Subdivision - 10 - ( 6/86 )- <br />