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5 . . Will the project: <br /> a . generate objectional odors : A)o <br /> b. generate any discharge into surface waters: o' <br /> c . generate or store hazardous materials : o <br /> d. expose people to any hazardous materials or situations : <br /> e . displace people: o <br /> f . use significant amounts of energy or natural resources : o <br /> g . cause congestion on roadways, or at interchanges or intersex <br /> tions: �l/o <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 (a tach proof of the owner ' s consent to file <br /> the application ) , <br /> and t oregoin 1 rue and correct . <br /> (Signa ue ) (Dane ) <br /> M <br /> Minor Subdivision - 10 - ( 6/86 ) <br />