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�`. PqutN <br /> c <br /> APPLICATION - ,MAJ,OR .SUBD,IVISID,N <br /> ' SAN JOAQUIN,COUNTY COMMUN,TY DEVELOPMENT DEPMTU61T <br /> x FILE NO MS <br /> I,thevm <br /> Oer/Agent agree,to defend �ndetrtniy,atad hal�lSharmless the Catnty and its agents officers and employees from any cta�m, <br /> ,action or proceeding against the Owner/igent s protect <br /> eri undo. that;I am(check one <br /> )t furtheroer`Penai <br /> Legat'property owner(owner;tnclude's partner tnistee,grantor,or corpo"rate officer)of the property(s)involved in'4h15 <br /> appiieatien,`or <br /> [] Legal ager t(attach proof of the ownees consent to'the applicatron of the property's tnvoiVed In this applicatidh,and have been <br /> authorized to fife on tF�elrbehalf;ani!that the foregoing application statements are,truerar d correct: <br /> Print Name: Si nature: <br /> Date.-7/ <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I <br /> E <br /> I ' <br /> f <br /> I <br /> RkDEVSMPlanning Application Forms\MAJOR SUBDIVISION(Rev.12-09-04) Page 7 of 9 <br />