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APPLICATION - SITE APPROVAL <br /> ................... .......... <br /> ..........- .......... <br /> ............. <br /> ......... .......... <br /> ........... <br /> . ...... " ..... <br /> ........... <br /> ... ... KAUTHOR <br /> I.ZATION SIGNATURES'-- <br /> ............ <br /> . .. .............. <br /> ............................. <br /> .................... <br /> . ............................. ....... .................. ........... ........ <br /> ...................... <br /> ......................................... <br /> ............ <br /> .... .... .. ....... ... <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION.7:---- <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 Owner/Agent's 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) of the property(s) <br /> involved in this application, or <br /> X. Legal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and that the foregoing application statements are <br /> true and correct. <br /> Print Name: Ny( p S. CAFIcor� Signature: Date: <br /> Print Name: FA-ra I Cf A -f, C4 qonff. Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date., <br /> Print Name: Signature: Date: <br />