Laserfiche WebLink
J <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> atm+oR=narrslctwtiuREs ..< <br /> ONLY THE OWNER-OF THE PROPERTROk, NWA 7tiOR�D'AGENT MAY FILE AN APPLICATION,. <br /> I <br /> I,the OwnedAgent agree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> Of proceeding against the Owner/Agen:'s project. <br /> 1, 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 <br /> this appllcatfon,or <br /> uY Legal'gene(attach proof at the owner's consent W the application of the property's Involved In this application <br /> and have!teen authorized to file on their behalf,and that the foregoing application statements are true and <br /> correct. n <br /> Print Name: 77 I,,._, (Rl E Signature: Date: <br /> Print Name• � t.'3 �'T � �o/J Signature: i Date:' <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> , <br />