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APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> F ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> li 1, the Owner/Agent agree, to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project. <br /> i1,further, certify under penalty of perjury that I am(check one): <br /> 0 Legal property owner(owner Includes partner, trustee,trustor,or corporate officer)of the property(s)Involved In this <br /> application,or <br /> X6X Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application and <br /> i have been authorized to file on their behalf„and that the foregoing application state encs are true and correct. <br /> E <br /> Print Name: HOWARD L. SELIC `1AN Signature: L• ' ik Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> -5- <br />