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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION-SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR A14 AUTHORtZED'ACGENSMAY FILE AN,APPLICATION <br /> FI - <br /> wnerlAgent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> ny claim, action or proceeding against the OwneriAgent's project. <br /> ,, <br /> er, certify under penalty of perjury that I am (check one): <br /> Legal property owner (owner includes partner, trustaa, trustor, or corporate officer) of the <br /> Property(s) involved in this application, or <br /> Legal agent 'attach proof of the owner's consent to the application of the property's involved <br /> in this application and have been authorized to file on their behalf., and that the foregoing <br /> application statements are true and correct <br /> tTt�h`( E Gme: J��/viylg /'rAY�y' y Signature: Data: .� �Ome: Signature: Dme: Slgnature• Date: <br /> e: Signature: Date: <br /> e; Signature: Date: <br />