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SA 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 /> q. cause congestion on roadways or at interchanges or intersec- <br /> tions: No <br /> Q 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 /> UOwner 's legal agent (attach proof of the owner's consent to file <br /> the application) , <br /> and the €oregoing is true and correct. p <br /> (Signature) (Date) <br /> Minor Subdivision - 10 - (6/86) <br />