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APPLICATION - SITE APPROVAL <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 <br /> employees from any claim, 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, trustor, or corporate officer) of the property(s) <br /> involved in this application, o, <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been au,'horized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Print Name: Signature: Date: /z- <br /> Print Name: ��SWS Cutui6- "�C(1;t(�j. Signature. -//L'� Date: IZ-13-gQ <br /> Print Name: i�PE-2�N?J� �f�-4+>y Signature: ,�^ p 7� Date: X2-3-SS <br /> Print Name: FE-nNt.�ca �rt,4J» Signature: De-oCrm�r„�- Date: 11 -6-45 <br /> Print Name: Signature: Date: <br />