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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATIOMSIGNATURES 1' <br /> ONLY THE OWNER OF THE".PROPERTY:ORAKAEITHOR1=.AGENT MAY FILE AN.APPLICATION. I. <br /> I,the OwnerlAgent 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 I am(check one): <br /> I� <br /> C Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)Involved in <br /> — / this application,or <br /> QTY 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 file on their behalf.,and that the foregoing application statements are true and <br /> correct. <br /> Print Name: ACE Signature: zn-�a�'�� Date: 8 -� <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />