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APPLICATION - MAJOR 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 /> 7th, 1,,Aggree,to defend, indemnity,and hold harmless the County and its agents, officers and employees from any claim,action or <br /> he Owner/Agent's project. <br /> I,further, certify under penalty of perjury that 1 am (check one): <br /> • Legal property owner(owner includes partner,trustee,trustor, or corporate officer)of the property(s)involved in <br /> this 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 1/authorized to file on their behalf., and that the foregoing application statements are true and correct. <br /> Print Name: `Ra.yrAc+�cj, 0.z.- Signature: u- Date: (0 -17-0/9 <br /> P-r-i nt Name: �Fd-CA-Y100 (/4..L Signature: 9 (l Date:Z. <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />