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F A SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner , trustee , trustor , <br /> or corporate , off icer ) , <br /> LJOwner ' s legal agent (attach proof of, the owner ' s consent to L' Ue <br /> the application ) , <br /> and that the foregoing is true and correct . <br /> { Signal/Tre ) ( Date ) <br /> B.r. RANctt UANEYf\V-D <br /> Minor Subdivision 6 - ( 6/86 ) <br />