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APPLICATION ^ SITE APPROVAL <br /> f: <br /> - AUTMORIZATI4N SIGNATURES:: <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the OwnerlAgent agree, to defend, indemnify, and hold harmless the County and its agents, officers and z< <br /> employees from any claim, action or proceeding against the Owner/Agent's project. <br /> �Ufurt erh,-certify under penalty of perjury that 1 am (check one): <br /> J Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> D 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 behalyad that the foregoing application statements <br /> are true and correct. <br /> Print Name: WA + Signat re to <br /> Print Name: Signat re: Date °� <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />