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USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> qvv <br /> T SJR/ZATtOI S/GNATURES:., <br /> ONLY THE OWNER OF THE PROPERTY OR AUTHORIZED'AGENTMAY Fi AK>AP <br /> 1, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, <br /> officers and employees from any claim, action or proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> x Legal property owner(owner includes partner, trustee, trustor, or corporate <br /> officer) of the property(s) involved in this application, or <br /> o Legal agent(attach proof of the owner's consent to the application of the <br /> property's involved in this application and have been authorized to file on their <br /> behalf., and that the foregoing application sta entre and correct. <br /> Tose �T. Rios 11/25/98 <br /> Print Name: Signature: Date: <br /> Prins Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> L <br /> i. Print Name: Signature: Date: <br /> s <br />