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APPLICATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY ORAN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> /,the Owner/Agent agree,to defend,IndemnW,and hold harmless the County and its agents,officers and employees from any claim,action or <br /> proceeding against the OwneNAgent's pro/ecf. <br /> I further certify, under penalty of perjury,that I am(chock one): <br /> Legal 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 owners 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: SoNAT)thl✓ WETFtotL.0 Signature: AllDate: <br /> Print Name: stgnature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> xixoxs�eAry roxx vev. �.�o-o� 111 <br /> -5- <br />