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5 . Will the project: <br /> a . generate objectional odors : NO <br /> b. generate any discharge into surface waters: Pic-) <br /> c . generate or store hazardous materials: N n <br /> d. expose people to any hazardous materials or situations : <br /> e . displace people: N O <br /> f . use significant amounts of energy or natural resources :_�Q <br /> g . cause congestion on roadways or at interchanges or intersec- <br /> tions: NC) <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal A <br /> Le Property Owner (owner includes <br /> g P Y � partner, trustee, trustor, or <br /> corporate officer . ) <br /> LJ 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 /> (Sdgnourey (Date ) <br /> Minor Subdivision - 10 - ( 6/86 ) <br />