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5 . Will the project: <br /> a . generate objectional odors : NO <br /> b. generate any discharge into surface waters : p <br /> c . generate or store hazardous materials: N p <br /> d. expose people to any hazardous materials or situations : NO <br /> e . displace people: N O <br /> f . use significant amounts of energy or natural resources : hoc <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions : <br /> O SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> l� 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 /> 92_a� '4046412 23 7 <br /> (Si atu ) (Date ) <br /> Major Subdivision - 10 - (6/86 ) <br />