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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I,"the own gent agree, to defend,Indemnify,and hold harmless the County and its agents,officers and employees from any claim,action or <br /> proceeding against the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am(check one): <br /> I <br /> 0 Legal property owner(owner Includes partner, trustee,trustor,or corporate officer)of the property(s)Involved in this <br /> application,or <br /> 0 Legal agent(attach proof of the owner's 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. I <br /> Print Name: �� Sv if `U VOGC.1 Signature: Gtr t, Date: 9 9 r� <br /> Print Name: �IL ,�Y/ � Signature: Date: q—b7 <br /> Print Name:14�Y Signature: Date: <br /> Print Name: Signature: Date: 1 <br /> Print Name: Signature: Date: <br /> I <br /> _S- <br />