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-APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO MS- <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees from any claim, <br /> action or proceeding against the Owner/Agent's project. <br /> I further certify, under penalty of perjury, that I am (check one). <br /> 1hT Legal property owner(owner includes partner, trustee, grantor, or corporate officer) of the property(s) involved in this <br /> �l 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. I 1 <br /> Print Name: L--,- .Y` Hgr6 ea1�-( l Signature: Date. <br /> Print Name: Siature: Date: <br /> Print Name: Signature Date <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />