Laserfiche WebLink
APPLICATION - SITE APPROVAL <br /> AUTHOR SIGNATI�RES <br /> ONLY THE OWNER OF THE PROPERTY OR Af+k''AUTH}RIZD,RGENT.MAY:FILEAf -APPl.1CATiON.._ <br /> i, 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 /> i <br /> i,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 /> I <br /> 9{ 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: Michael Grech Signature: Date: 2/25/97 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> I <br /> i <br /> i <br /> I <br />