Laserfiche WebLink
APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORI2A:TION SIGNATURES..: <br /> QNLY THf_-OWNER OF THE.PROPERTY:OR AWAUTHORIZED'AGENT:MAY FiLE'AN APPLICATION:: <br /> I,the Owner/Agent agree,to defend,indemnity,and hold harmless the County and its agents,officers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project. <br /> I, further, 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 /> this application,or <br /> Cl Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application <br /> and have been authorized to rile an their behalf.,and that the foregoing application statements are true and <br /> correct. <br /> Print Name: CT ear o.e N ca Signature: ` G, Date: ) �, <br /> Print Name: M qr�h aVkCL< Signature: r Date: / <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> s <br /> -f ; <br />