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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATUPES <br /> ONLY THE OWNER;OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the Owner/Agent agree, to defend, Indemnify, and hold harmless the County and Its agents, officers and <br /> employees from any claim, action or proceeding against the OwnerlAgent's project. <br /> 1, further, certify under penalty of perjury that I am(check one): <br /> O Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the prooerty(s) <br /> Involved In this application, or <br /> 19 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 rhe foregoing application statements <br /> are true and correct. <br /> Leonard & nc . - See attached Lease Agreement <br /> Co .. <br /> Print Name: Signature: Date: 1-14-05 <br /> Print Name: Georgio Perry Signature: irectorl,errvness Site Dgata,lopment <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> PHnt N�mq mIgnaturrt <br /> valet <br />