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IILS
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<br /> APPLICATION - MINOR SUBDIVISION
<br /> SAN JOAQUIN COUNTY D COMMU rrY
<br /> £}�.�,,,, �f�;�,���+1�,,ya�z� ,�>�}Fy'�� Y ��,�'.,,;.�y/. ,.•, n +y N N DEVELOPMENT DEPARTMENT
<br /> ".2 Yl^0.4\} '4�x.' � �T :a': L.A,.fF't�m•YSA:�i�ro:1Zv �fk
<br /> �.
<br /> tsc $s�# > fz^f�i:'v:Fi��:"s �v°,�`�2"'x' � f'liii[)RITA7IDNffi!fl�[A7URES.,`� �
<br /> :,.»�;•. r,.::},..u.'>r}: ,.w:;:.ON �rFI�Q �,.. Y7bx+1 4+< 'eF'r '''i �.zy
<br /> . lEi�OER. f/1�1IDRtix,•':o4.? }dY",o, `£�"i ,rr���;xw.'
<br /> !,the OwnerfRgerrt agree,t4 defend,Indemnify,and hold Ira as nrrl�n >FlIEA�gPI?fi1CAVOWN a�•.,.;,,s
<br /> or proceedln a alnst the "���
<br /> .� g OwnerlAgent a projecte3s the County and Its agents,opkefa and employees from any claim,action
<br /> i,f�riher, certify under penalty of per u
<br /> 1 ry that 1 am(check one}: ,
<br /> g p �
<br /> Legal
<br /> e al Property owner{owner Includes partner,truslee,trustor,or corporate offic
<br /> this application,or. of the property(s)Involved
<br /> In �
<br /> d Legal agent(attach proof of the owner's t:onsent to the appllcatlon of the ro
<br /> and have been authorized to me on their behalf.,and that the foregoing application statements are true and
<br /> correct,
<br /> p party's Involved In this appllcatlon
<br /> Print Name: HERMAN WAGENMAN, TRUSTEE
<br /> Print Name:FRANCES WAGENMAN, TRUSTEE Signature: l
<br /> Date:
<br /> Print Name:RAYMOND WAGENMAN, TRUSTEE signature;
<br /> Date:
<br /> Print Name: BETTY WAGENMAN, pate:TRUSTEE signature:
<br /> ~]'-�./
<br /> Print Name: DAVID WAGENMAN signature; Y
<br /> Date: 2—
<br /> Name is RENEE WAGENMAN signature '
<br /> S�;gf]dtUY'1'. � Date: —;;,'1 `Q
<br /> rtJct Da te: 7 a-1—a y
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