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APPLICATION - MAJOR SUBDIVISION <br /> N: :< <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO. MS- <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree. to defend, indemnify, and hold harmless the County and its agents. officers and employees from any claim, <br /> action or proceeding against the County arising from the Owner/Agents project <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 this <br /> application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf, and that the foregoing application statements are true and correct. <br /> Date:Name: Signature: <br /> 1 <br /> Print Name: ++ _ f Signature: Date: <br /> Print Name <7.1 I� _ Signature: --)ate: <br /> Print Name: Signature: . _ Date: <br /> i <br /> Print Name: (f�� �Z l Signature:y i - Date: G /�� <br /> F 1DEVSVS1Planning Application FormsIMAJOR SUBDIVISION(Rev 05.11.09-04) Page 7 of 9 <br />