Laserfiche WebLink
APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTIIOR17ATION SIGNATURES <br /> ONLY RIE OWNER OF THE PROPERTY OR AN AUTIIORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, file OwnervAgent agree, to defend, Indenudfy,and hold harndess file County and Its agents, officers and ernployees bony any claire, action or <br /> proceeding against the Owner/Agent's prefect. <br /> I, further, certify under penalty ofper)ury that I am(check one): <br /> O 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(affach proof of file owner's consanf fo the application of the property's Involved In this application and <br /> have heart authorized to file on their behalf, and first fire foregoing application statements are true and correct. <br /> Print Name: �cU S C.�, � �'O Signature. � J_ _ Data: <br /> Print Name: _ Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Narne: Slgnaturo: Date: <br /> z <br />