Laserfiche WebLink
APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the Owner/Agent agree, to defend, indemnify,and hold harmless the County and its agents, officers and employees from any claim, action or <br /> proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that/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 file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: ARTTiRn PANTA('NAr 7R Signature: <rt \ Date: 1104',40 y <br /> Print Name: RENATO PANIAGUA Signature: Date: <br /> Print Name: 1]RiINT,TA PANTA . A Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> s- <br />