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ik 4 <br /> {ttu3� arn i"W6,yea, <br /> AtJYHORI <br /> Z' N 8lGNAf URFS <br /> �� �ONL;;Y�TN QWN�ROR TIME PROPERTY_OR AN AUT.IatOf�IZED;AGENT IA y�FJL,E A�11 APPC'.?CATIf3N -"' <br /> SIGNATURE: <br /> I 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 <br /> a a e eg ing application statements are true and correct. <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> RMountain House/MH Application FermslMH-Plan Title Amnd Form-MASTER <br /> i <br /> 3 <br /> i <br /> i <br /> i <br /> i <br /> 1 <br /> I <br /> } <br /> r <br /> RU5025-0kJFBCe�SobmiltalslFer Submittal 20064PIanAmendmentApp-speciBcplan.doc <br />