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5 . Will the project: <br /> a . generate objectional odors : a <br /> b. generate any discharge into surface waters: N U <br /> c . generate or store hazardous materials: nip <br /> d. expose people to any hazardous materials or situations: fqc) <br /> e . displace people: PI 0 <br /> f . use significant amounts of energy or natural resources : m► T� _ <br /> g. cause congestion on roadways or at interchanges or intersec- <br /> tions: N D <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> PIO R7Nc2 <br /> Legal Property (owner includes partner, trustee, trustor, or <br /> corporate officer . ) <br /> �-J 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 /> 8 - as - 88 <br /> Sig to ) (Date ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br />