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g4urN APPLICATION - MINOR SUBDIVISION <br /> yi SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I,the Owner/Agent agree,to defend, indemnify, and hold harmless the County and its agents, officers and employees from any claim, <br /> action or proceeding against the County arising from the Owner/Agent's project. <br /> E__Y6 <br /> rtify, under penalty of perjury, that I am (check one): <br /> egal property owner(owner includes partner, trustee,grantor, or corporate officer)of the property(s)involved in this <br /> pplication, or <br /> egal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> uthorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> : �b✓I hl �f A CE IVTI £� — Signature: M,n n ^" ^¢ Date: -7/S' j7 <br /> e: Signature: Date: <br /> e: Signature: Date: <br /> e: Signature: Date: <br /> e: Signature: Date: <br /> F:\DEVSVS\Planning Application FormsWinor Subdivision(Rev.05-11-09) Page 7 of 9 <br />