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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: MS - <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 /> [D Legal property owner(owner includes partner, trustee, grantor, or corporate officer) of the property(s) involved in <br /> this application, or <br /> Ej Legal agent(attach proof of the owner's consent to the application of the properties involved in this application <br /> and have been authorized to file on their behalf and that the foregoing application statements are true and <br /> correct. <br /> Print Name: Alan E. Hofmann Signature: _�„ Date: <br /> Print Name: Bryan E. Hofmann Signature: Date: 3) 3 I pS <br /> Print Name: Sue G. Hofmann Signature: Date: 3 Z2&/ <br /> Print Name: Susan H. NielsG�n Signature: \j Date: S <br /> F:OEVSVS\Banning Apptimbon Fp Winor Subdivision(Rev.&03-04) Page 7 of 9 <br />