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APPLICATION - MINOR SUBDIVISION <br />' I UCYANIMGIVI <br />AUTHORIZATION SIGNATURES <br />ONLY THE OWNER OF THE PROPERTY ORAN AUTHORIZED AGENT MAY FILE AN APPLICATIONJactio. <br />1, the OwneNAgent agree, to defend, indemnify, and hold harmless the County and its agents, oKcers and employees fromproceeding against the OwnerAgent's projectI further certify, under penalty ofperjur , that I am (check one): <br />Legal property owner(owner Includes partner, trustee,grantor, or corporate oKcer) of the prop <br />application, or <br />0 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:�Qd�W JA�ebp+` Signature: Date: <br />Date: <br />Print Name: Signature: Date: <br />Print Name: Signature: Date: <br />Print Name: Signature: Date: <br />Print Name: Signature: Date: <br />