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J! <br /> i <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY)DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION`SIGNATURES <br /> ONLY.THE.7QWiVEFt0"', PROPERTYORANVAUTHORIZEb"AGENT:MAYFtLE74N APt?t�CA7tOfF.:' <br /> F1, nerlAgent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim,action <br /> oreding against the Owner/Agent's project. <br /> r, 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 /> t this application,or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's Involved In this appiicatlon <br /> i <br /> and have been authorized to file on their behalf.,and that the foregoing application statements are true and <br /> correct. <br /> Print Name; William KnappSignature: Lv <br /> Date: C� / l0 <br /> I i I <br /> Print Name: Derrell K2150 Signature: i1 Date: lC1 <br /> ;r <br /> i Print Name: J)011141* <br /> Signature: I1 Date: 9 - 7 <br /> Print Name: Signature. Date: Z �i <br /> � <br /> ;. Print Name: Signature: Date: <br /> �i <br /> j <br /> ff � <br /> I <br /> i <br /> a <br /> r <br /> r <br /> �i f4 <br /> F <br /> : <br />