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APPLICATION - MAJOR 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 /> I, the Owner/Agent 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 I am(check one): <br /> o Legal property owner(owner includes partner, trustee, trustor, or corporate officer)of the property(s)involved in <br /> this 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: Signature: Date: <br /> Print Name: t- 'e ✓c, 0,e—f 1'E.S Signature: - - Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Pi0N5[R/IOARF/Pi..VIPLO0./Xl./POPOIVAPP] IN.10/]B/0] SM) <br /> _5 <br />