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APPLICATION - MINOR SUBDIVISION <br /> .t, <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 5' <br /> 2TS, ?fit > e' ' ';.""r'�•: k{:Ytkti'Y ati - ;. yrs•,tr;.:,y., <br /> -t i� '# "�'"'% 4eo-r�?�2t?f;??.?'.tv.:;.•.'{� :.? '. r�.st;;:�k 'f...J::r. • 'Sr%"�'::;k.3?'. .4,s:..,. <br /> .... .. � ,.ti..;r. :h� � .r.:6%'a �^"s�•'or a.. y � �z y. ^^t'N?¢�:,;:J:.•�:i�r:::.::: <br /> . # �^�'.�.':•,.�+A�ORIZIITIGN�Sla1VA'RJFtES ra'x:F' kxa � ,y��'���;�.,. , .,�„s Cr3'2�. tis.• <br /> #f u >° �'wf''^t:1"6 .4}t• <br /> •.,••, 4 %r #; y.;..S :-;.moi' •'r43,tt• k•..... y .c:w. '•t`.r�7 1 :{Ys,.: ey5'¢�;.,.....'... <br /> u:r?e; `.:;d fiR.''�5..a' #}:ro• u+° 'a.• ., �ytl.'.x:::d, y 3 4 si>' i<}a <aG yK � - <br /> :: .,: bN�`Y•.•zTH�.OWN�f���F•7'i1��1�OPIrRT.YOIZ�AN�d�tJ�F•iORREf�/tGENTNFA�f�FtC�`A AP..•CATION.:�:> . .{., Y "� <br /> 1,the OwnerlAgent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim,actlan <br /> or proceedin.9 against the OwnedAgent's project. <br /> 1,further, certify under penalty of perjury that i.am(check one): <br /> Legal property owner(owner includes partner,trustee,trustor,or corporate officer <br /> )< this application,or )of the property(s)involved in <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved In this <br /> correct. applicatapplication <br /> and have been authorized to file on their behalf.,and that the foregoing ion statements are true and <br /> Print Name: s' 3i:�.':��KA Signature: <br /> Date: <br /> Print Name: A�1/6/4 o LJ1S NU rSignature:, Date: tZE: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: _ <br /> Print Name: Signature; <br /> Date: <br /> E i <br /> I <br /> 1 <br /> 7 <br /> I <br />