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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 th reg n true and correct. <br /> 28 December 1987 <br /> 7 (S natur ) (Date ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br />