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APPL <br /> CATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUN/TY/DEVELOPMEN DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1,the Ownu/Agent agree, to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action or <br /> Proceeding against the OwnerlAgent's project. <br /> I, further, certify under penalty of perjury that I am(check one): <br /> Legal property owner(owner Includes partner,trustee,trustor,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.,end that the foregoing application statements are true and correct. <br /> Print Name: �DYI t / 'L C/'�I ryl Signature: Data: Z Q Z <br /> Print Name; Signature: <br /> PrOt Noma: .alCnoturat. Date: <br /> Print Name: - 3 pneture; Dota <br /> Prnt Name: Sl nature: Do N: <br /> Date: <br /> xixonuun [ou, x[v. [.w-ol I[xol <br />