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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: 2 small residences are expected to be removed ( se <br /> �Lrr-. <br /> f . use significant amounts of energy or natural resources : No tive <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions : No <br /> L SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> E] Legal Property owner (owner includes partner , trustee, trustor , or <br /> corporate officer . ) <br /> uowner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and that the fo g ing is true and correct. <br /> Y4; 4�z <br /> (Signature ) (Date ) <br /> Laurie Edwards Brown <br /> �0, an <br /> (Signa ure ) (Date Devon Brown <br /> Minor Subdivision - 10 - ( 6/86 ) <br />