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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 /> 1,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 file on their behalf,and that the foregoing application statements are true and correct. <br /> 14vPrint Name: II&klF ee; y Signature: Date: ( <br /> Print Name: 1= �VE,Vv �� `'� ��� Signature: _- <br /> Date: r! �J <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> rmrvaw xowiewnwvlxesamnxwen �rv.xonvoe xxm� <br /> 5- <br />