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5 . Will the project: <br /> a . generate objectional odors : no <br /> b. generate any discharge into surface waters : no <br /> C . generate or store hazardous materials : no <br /> d. expose people to any hazardous materials or situations : no <br /> e . displace people: no <br /> f . use significant amounts of energy or natural resources : no <br /> g . cause congestion on roadways or at interchanges or intersec- <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 that the fore g g is true and correct . <br /> Ca�w Corpora"ca_:�-Cr-BY* KQc <br /> - --T r . August 14, 989 <br /> (Signa t' e ) (Date ) <br /> Thomas M. Zucke Director <br /> Major Subdivision - 1.0 - (6/85 ) <br />