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! 4 � <br /> APPLICATION w MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT INAY FILE AN APPLICATION. <br /> 1,the OwnerlAgent agree, to defend,indemnify,and hold harmless the County and its agents, officers and employees from any claim,action or <br /> proceeding against the OwnerlAgent's project. <br /> 1,further, certiry under penalty of perjury that 1 am(check one): <br /> IN Legal property owner(owner includes partner, trustee, trustor, or corporate officer)of the property(s)involved in this <br /> application, or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and <br /> have been authorized to rile on their behalf.,and that the foregoing application statements are true and correct, <br /> Print Name: e✓'C� if S Signature: ., Date: <br /> Print Name: SignaturQ' Date: } <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> -5- <br />