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APPLICATION - SITE APPROVAL <br /> AU77HORIL4T�0N 5►GNATURES , <br /> nj <br /> , <br /> i f <br /> ONLY THE OWNER OF.THE PROPERTY OR AN AUtNOR1ZED AGENT MAY FILE AN APPLICATION . <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 /> Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> ❑ 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 <br /> are true and correct r r <br /> Print Name: Signature: Date: q-1 1 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> EI <br /> I ' <br /> T <br />