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5 . Will the project: <br /> a . generate objectional odors : <br /> b. generate any discharge into surface waters : <br /> c . generate or store hazardous materials : <br /> d. expose people to any hazardous materials or 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 : <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 f/r going ,'s true and correct./ <br /> (Signature ) j / (Date ) <br /> General Plan Map Amendment 14 ( 6-86 ) <br />