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APPLICATION-MINOR 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 /> 1,the OwneNAgent agree, to defend,lndemnify,and hold harmless the County and its agents,officers and employees from any claim,action or <br /> proceeding against the Owner/Agent's project. <br /> I,further, certify under penalty of perjury that I am(check one): <br /> �rp <br /> 6Legal property owner(owner Includes partner, trustee,grantor, or corporate officer)of the property(s)involved in this <br /> 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 authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: 4 f (� 1 �2 r Signature: ��'-� Date: X2-4F6 <br /> � ��f LKS'1L <br /> Print Name: I 21' o iN `T'� Signature: �s�.�t� Date: 6 < 6L� <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> 4 <br /> n,m.yuxnir ,oxn xw. n.io-o, uwn <br />