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--- ----------------------- <br /> pr ,09 04 OG: 55p Gene Vanu <br /> APPLICATION - ZONE RECLASSIFICATION <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 /> I, the Owner/Agent agree, to defend, indemnify,and hold harmless the County and its agents,officers and employees frons any c1uim,action <br /> or proceeding against the OwnerJAgent's project. <br /> i,fulther certify under penalty Of perjury that I am(check one): <br /> O Legal property owner(owner Includes partner, trustee, trustor,or corporate officer)of the propertyhi invoived 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 t,ue and correct. <br /> ( Signature: _— Date: <br /> {I Print Name: t <br /> tC)C. k, Signature: C� " L Date: �J� <br /> LPrintNsme� <br /> i ` <br /> Signature: Date* <br /> I <br /> Signature: Date: <br /> Signature: _—_— Date` <br />