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APPLICATION - MAJOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER O7 THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> !, the Owner/Agent agree, to defend,Indemnify,and hold harmless the County and!ts agents,officers and employees from any claim,action or <br /> Proceeding against the Owner/Agent's project. <br /> !, further, certify under penalty of perjury that I am(check one): <br /> Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)Involved In <br /> this application, or <br /> ==,Lega!_agont(attach-proof of-the-owiaer'sconsent to Ke ap N atfon of the properfy's7nvafvad 1 tMisapplication and <br /> have been authorized to file on their behalf.,and that the fore n ppil Fon statements are true and correct <br /> Print Name: ignature: �-� ,2 Z <br /> Date. �f T <br /> Print Name. Signature: T �g <br /> Date: �- <br /> Print Name; Signature: <br /> Date: <br /> Print Name; Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br />