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5 . Will the project: <br /> a . generate objectional odors : Oy 0 <br /> b. generate any discharge into surface waters : N a <br /> c . generate or store hazardous materials: (� <br /> d. expose people to any hazardous materials or situations : N <br /> e . displace people: N 6 <br /> f . use significant amounts of energy or natural resources :_ <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions: N a <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> paR7/VC 12- <br /> Legal <br /> Legal Property Gwner- (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 foregoing is true and correct. <br /> (SAgnaVureV (Date ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br />