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APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> R ONLY THE OWNER OF?WE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1,the OwnedAgent agree,to defend,Indemnify,and hold harmless the County and its agents,officers and employees from any cialm,action <br /> orproceeding against the OwneNAgent's project <br /> 1,further, certify under penalty of perjury that 1 am(check one): <br /> O Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> Legal agent(attach proof of the owners consent to the application of the property's involved in this application and <br /> have been authorized to file on their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: ..1�,�r1' �ii;l„ .� Signature: �L� ��� l'�'�"�'� Date: �r 17/,0 Z. <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date.- <br /> Print <br /> ate:Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> x <br />