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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> . .. ...AILT}'fORIIhT10Pi`SKiPI/kTURE�•.w.....`,: ;, <br /> ONLY.THE:OWNEROF THEPROP9k1*0itAW-AUTHOR9W-AGEtJTfYtAY.flLEAN•APPUCATION;:` - - <br /> I,the Owner/Agent agree,to defend,indemnity,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 /> I,further, certity 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 /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's Involved in this application <br /> X and have been authorized to Ale on their behalf.,and that the foregoing application statements are true and <br /> correct_ <br /> Print Name: CARL NAVARRA Signature: �A��/�e-r r ���- Date: <br /> Print Name: _ Signature: Date: <br /> Print Name: �. Signature: <br /> Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I HEREBY AUTHORIZE PETE NAVARRA TO ACT AS MY AGENT ON THIS APPLICATION. <br />