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APPLICATION - SITE APPROVAL <br /> FFIthAUTHORIZATION SIGNATURES <br /> e <br /> THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> r/Agent egreo,to dofend,Indamnlly,and hold harmless the County end Its agents,oH/cers and <br /> bom any claim,action or proceeding against the Owner/Agent's project. <br /> ertlly under ponalty of Par <br /> that I am(check one): <br /> 6 Legal property owner(owner Includes partner, trustee, trustor, or corporate officer)of the property(s) <br /> Involved In this application,or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's Involved In this, <br /> application and have been authorized to file on their behalf.,and that the foregoing application statements <br /> are true and correct. <br /> Print Name. �n.n Ct�knrnA9�P signature: <br /> Print Name: Signature: <br /> Data: <br /> Print Name: Signature: <br /> Data: <br /> Print Nemo: S/gnaturo: <br /> �.ml N.ma Data: <br /> AIan.Wn.l OaNI <br />