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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> 7',- e <br /> E OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> gent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> mpoym any claim, action or proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that 1 am (check one): <br /> ,9 Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> 0 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., and that the foregoing application statements <br /> are true and correct. <br /> FPrintName: Phillip H. Muller Signature: ate: Z/i3/MT <br /> Carol S. Muller Si nature: Date:e: ge: Signature: Date: <br /> e: Signature: Date: <br /> e: Signature: Date: <br />