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AUTHORIZATION SIGNATURES <br />ONLY THE OWNER OF THE PROPERTY OR ANAUTN01VIZEDAGENTMAYF%LEAN APPLICATION. <br />1, Iha Owner/Agent agree, fo dehad, Indoeudle and hold harmffiss the County and/h, agents, of lcors and employees from any <br />claim, aglon orpraceeding against fhe Owner/Agents project <br />I. fumh d, --my undarpanalfy ofperfury foal) am (chock ono): <br />❑ Legal ropery Owner(--or Includes psNner, kosteo, frusfo% or corporate ofgcoo cribs puporty(s) <br />/ adin Pols application, or <br />Legal agent (attach probfof the owner's consent to the application of the pneperfy's Inwlved In this <br />appllcagon and have been authorized to filo on thele behalf) <br />and that the foregoing application statements are true and conva <br />Print Name: `i � �T _ Signature: Date: <br />Print Name: Signature: Date: <br />Print Name: Signature: Data; <br />Print Name: Signature: Date: <br />Print Name: Signature: Date: <br />Afounlaln H..IMHApplkegon Fw SWH-UP-SA-IPform-MASTER.dac <br />