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APPLICATION — MAJOR SUBDIVISION <br /> e � <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MIS- <br /> FO <br /> 7,nceeding <br /> ree,to defend, indemnify,and hold harmless the County and its agents,officers and employees from any claim, <br /> gainst the Owner/Agents project.r penalty of perjury,that I am(check one): <br /> ® Legal property owner(owner includes partner,trustee,grantor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: Rio Investments, LLC/ George Signature�l� Date: August 10, 200 <br /> Garcia Date: <br /> Print Name: S7'gnature <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> FADEVSVSNIanning Application Forms\MAJOR SUBDrVISION(Rev.12-09-04) Page 7 of 9 <br />