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a s�'d.�°�+`�°oma _ � _ ► � <br /> • y APPLICAI SON •- VARIANCE <br /> SAN ,fOA6U1N COUNTY.COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: VR- <br /> (ContE �ued) x } <br /> '+w: .a .r.v. - <br /> 3: The Variance will not authorize a use or activity which is not otherwise expressly authorized by the zone.regulation governing <br /> the parcel of property. <br /> AUTHORIZATION'SONATIIES <br /> ONLY fiHE ONNEI,OF THE:PROPERTlI' OFA AN AU7HORI ED AGENT M/1Y FiLE'ANrAPPLICATION: <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> from any claim, action or proceeding against the Owner/Agent's project. i <br /> I, further,certify under penalty of perjury that I am (check one): <br /> Legal property owner(owner includes partner,trustee, grantor, or corporate officer)of the property(s) involved in <br /> this application, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application <br /> and have been authorized to file on their behalf., and that foregoinga. plication statements are true and correct. <br /> Print Name: A7)`f.mra T�[oea {�' Signature. Date: <br /> Print Name: Signature: Date: ` <br /> Print Name: Signature: Date: I( <br /> Print Name: Signature: Date: j <br /> Print Name: Signature: Date: <br /> i. <br /> PTEVSMPlanning Application FormsWariance,doc.(Revised 8-18-04) Page 6 of 7 <br />