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5 . Will the project: <br /> a . generate objectional odors : ,Vo <br /> b. generate any discharge into surface waters : J�vo <br /> C . generate or store hazardous materials : dv D <br /> d. expose people to any hazardous materials or situations: A-110 <br /> e . displace people: ny D <br /> f . use significant amounts of energy or natural resources : � <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions: !moo <br /> SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Q Legal Property Owner (owner includes partner, trustee, trustor, or <br /> corporate officer . ) <br /> LJ 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 /> (Signature ) (Date ) <br /> Zone Reclassification - 10 - ( 6/86 ) <br />