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5 . Will the project . <br /> a . generate objectional odors : 1-Jc) <br /> b. generate any discharge into surface waters : "0 <br /> C . generate or store hazardous materials : It'jo <br /> d. expose people to any hazardous materials or situations : rJO <br /> e . displace people : N0 <br /> f . use significant amounts of energy or natural resources : tjo <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 /> U <br /> the application ) , <br /> and that the foregoing is true and correct . <br /> :5;43 J v p��N (_C - ,.�r 1 i e�lr ��v�Sc o.( 3 h"z( ems' <br /> (Signature ) (Date ) <br /> Zone Reclassification - 10 - ( 6/86 ) <br />