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t5 . Will the project: <br /> a . generate objectional odors : A.0 A, pl�T D <br /> b. generate any discharge into surface waters : <br /> C . generate or store hazardous materials : UNKX)DcvA--' <br /> d. expose people to any hazardous materials or situations : No <br /> e . displace people : b <br /> f . use significant amounts of energy or natural resources : ND <br /> g . cause congestion on roadways or at interchanges or inter ec- <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 /> Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and t `t the �or going is true and correct . <br /> 611.1 <br /> (Signature ) (Date ) <br /> I <br /> i <br /> I <br /> I <br /> r <br /> i <br /> I <br /> I <br /> i <br /> t <br /> 1 <br /> I Major Subdivision - 10 - 6/86 ) <br /> E <br /> 0 <br /> F <br /> t <br />