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E I i <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT ENT DEAARTMENT <br /> • � c t�'.�v;.,.Yti.`�Y:}r?:;�'�n�, 'k. S.y` o�f�as�.'.�"'n�',..'' `� } , �.... ..;e^+e.' :..3`.l. •v, <br /> 4TIONIf3l�tll7URE <br /> �,�� RIZI <br /> >'•`;, ..���?:;^'s�� . .'ON iYaTF!>=: �1"EO>�fFIEE�R�P�FtTYsOit"AfJ% t'�NOR� :AcO�: ..:..IE a APPTION .,....::.�.s .: ..,:. � . <br /> l;the OwnedAgent agree,io defend,lndemnlly,and hold harmless the County and its agents,offices and employees from any claim,aWony <br /> or proceeding against the OrvnerfAgent's protect. � <br /> I! �M <br /> 1,further, certify under penalty of penury that I am(checft one): <br /> I' 1x L'egal property ownerowner Includes <br /> ( partner,trustee,trustor,or corporate officer)of the Property(3)involved In <br /> this application,or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's I PP p party's Involved In this application <br /> and have been authorized to fife on their behalf.,and that the foregoing application statements are true and <br /> correct. <br /> I. IM <br /> I _ <br /> Print Name: . e.Signature: �m �e pate: f— -tet <br /> H li _ <br /> Print Name: rc t Signature; pate; <br /> Print Name: 1 IQ._ Signature: '13pal <br /> i� t f Date: <br /> Print Name: �a V ,I C��1 l.Gi i f V <br /> Signature: ;. 0 Date: C 22 Zoo r <br /> Print Name: r Signature; i <br /> Date: <br /> . <br /> i, <br /> IE <br /> i <br /> i <br /> . ` <br /> I s <br /> i, <br /> it <br /> i I � <br /> � IE <br /> If III <br /> -4- <br /> it <br />