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APPLICATION - SITE APPROVAL <br /> A[JTHORIZA.T[QN;S[GN4"tuRES .. <br /> ONLY THE.OWNER'OF THE PROPERT` R. <br /> 0AN AUTHORIZEOAGENT!MAYFJOEAN :LtiPPLICAT.IOIu <br /> 1, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> from any claim, action or proceeding against the Owner/Agent's project. <br /> 1, 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 <br /> property(s) involved in this application, or <br /> Legal agent(attach proof of the owner's consent to the application of the property's involved <br /> in this application and have been authorized to file on their behalf., and that the foregoing <br /> application statements are true and correct. <br /> Print Name: Martin Gates Signature: Date: <br /> 2/18/98 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> Print Name: Signature: Date: <br />