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APPLICATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the OwnerlAgent agree, to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim, action or <br /> proceeding against the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am(check one); <br /> R 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.,and that/the foregoing application statements are true and correct. <br /> Print Name: Fjaa L_ FV 7F-T— Signature: l Date: 2- <br /> Print Name. Signature; Date: <br /> Print Name: sl nature: Data: <br /> Prtnt Name: Slgnatura: Date. <br /> Prfnf Name: SI nature; vete: <br />