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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN <br /> UNITY DEVELOPMENT DEPARTMENT <br /> A6?NORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 7OwnarlAgentee, to defend, indemnify, and hold harmless the County and Its agents, off7cers and employees from any claim, action ore Owner/Agent's project., er, certify under Penalty of perjury that I am (check one): <br /> • Legal property owner(Owner Includes partner, trustee, trustor, or corporate officer) of the Property(s) involved in this <br /> 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 flie on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: <br /> Signature: � %'yi-ccL� ,�,� •�!�/ Date: d�/o! p� <br /> Print Name: � ��� 3e.,.e�u,;.X t <br /> Signature: Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Da fe: <br /> Print Name: Signature: <br /> Date: <br /> -5- <br />