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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the OwneNAgent agree, to defend, indemnify, and hold harmless the County and Its agents, officers and employees from any claim, action or <br /> proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that/am(check one): <br /> Legal property owner(owner Includes partner, trustee, trustor, or corporate officer) of the property(s)Involved/n 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 f7le on their behalf„ and that the foregoing application statements are true and correct. <br /> Print Name: [�"�t . fi✓ Signature: Date: <br /> Print Name: zj� Signature: k Date: /L' C' J <br /> Print Name: <br /> Signature: Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br />