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APPLICATION - SITE APPROVAL <br /> 3 z } # } > rstr z }r }Ss z} > k 4} {z}##�y <br /> { r y } r 4} <br /> �k,.AUTHORlZATION SIGNATURES z F <br /> . ..;ONLY THE OWNER OF THE PROAERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATI ...::;......: <br /> 1,the Owner/Agent agree,to defend, indemnify,a ad hold <br /> against the Olwner/Agent's prof ctess the County and ts agents, officers and <br /> employees from any claim, action or proceeding g <br /> I,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) <br /> involved in this application, or <br /> nvolv ed In this. <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's statements are <br /> application and have been authorized to file on their behalf., and that the foregoing application <br /> true and correct. <br /> Petar 5chepanovich Signature: - - Date: 1 <br /> Print Name. <br /> Vice President, General. Date: <br /> Print Name: M&Uaaer Signature: <br /> Date:�� � <br /> Print Name: <br /> Signature: 1i <br /> f Signature: Date:�,�_ <br /> Print Name: <br /> Date: <br /> Print Name: Signature: <br />