Laserfiche WebLink
UPISAVP <br /> AUTHORIZATION SIGNATURES <br /> ONLYTHE OWNER OF THE PROPERTY OR ANAUTN01VIZEDAGENTMAYF%LEAN APPLICATION. <br /> 1,Iha Owner/Agent agree,fo dehad,lndoeudle 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, --mly undarpanalty 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 beha/r) <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 /> Afountaln H..IMHApplk4Vm FwmsWH-UP-SA-IPform-HASTE P dac <br />