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� w <br /> APPLICATION - MINOR SUBDIVISION <br /> ' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ' FILE NO: MS- <br /> AU AIZATION <br /> S-AUTH0AIZATION SIGNA'f MS. <br /> ONLY THE OWNER:Of TH£PRO+ RTY OR'Ai�l AUTHORIZED AGEN7,ilAAY PILE AN.APPLICATION. <br /> 1,the Owner/Agent agree,to defend, indemnify,and hold harmless the County and its agents, officers and employees from any claim, <br /> action or proceeding against the Owner/Agent's project. <br /> I further certify, under penalty of perjury,that I am(check one): <br /> ® Legal property owner(owner includes partner,trustee,grantor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf., and that the foregoing application statements are true and correct. <br /> R.J.M.Vineyards,LLC <br /> �— <br /> Print Name: Roti McManis Signature: Z Date: 7 it <br /> Print Name: Signature: Date: <br /> i <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> I <br /> i <br /> i <br /> I <br /> I <br /> F:DEVSVSIPlanning Application FonmsWinorSubdivision(Rev.12-09-04) Page 5 of 5 2010-231 MS.doc <br />