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APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> . ............ ............ <br /> 0 <br /> BMW <br /> UTHfOR-0- -.'.-.1' <br /> _4 <br /> 1, the Owner/Agent agree, to defend, indemnify,-and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the OwnedAgenes project. <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> 0 Legal property owner(owner includes partner, trustee, trustor, or corporate officer) <br /> of the property(s) involved in this application, or <br /> 0 Legal agent(attach proof of the owners consent to the application of the prope';rtyl 3 <br /> involved in this application and have been authonizied to file on their behalf., and that <br /> the foregoing application statements are true and correct. <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />