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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 OwneNAgent agree, to defend,Indemnlfy,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 /> Legal property owner(owner Includes partner,trustee, trustor,or corporate off7cer)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: �IJ� W1�Kfdr � Signature: Date. <br /> Print Name: Signature: Data: <br /> Print Name: slpnetvrol Da H; <br /> Print Nam a: Signature: Data: - <br /> Pnnt Neme: SI nature: Date: <br /> n1lOPfuMpY fOPw I,[V. P-10-OI Ilxoi <br /> -5- <br />