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USE PERMIT <br /> SAN JOAQUIN.COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: UP- - <br /> <. �,:; r� •..�T.-,;-.�'. .� :..! ,:, ..,AUTHORlZi4.TION�IGN�YT,URES , ,� nom. ��, ��. `}y <br /> I <br /> 1,the Owner/Agent,agree to defend,Indemnify,and hold harmless the County and its agents,officers and employees from any claim, <br /> action orproceeding against the Owner/Agents project <br /> 1 further cerilfy,under penalty of perjury;that 1 am(check one): <br /> f�[ Legal property owner(owner includes partner,trustee,grantor,or corporate officer)of the property(s) <br /> Involved in this application,or <br /> 3 <br /> a Legal agent(attach proof of the owner's consent to the application of the property's Involved In this <br /> application and have been authorized to file on thelrbehalf.,and that the foragoing application statements ` <br /> are true and correct I <br /> Print Name: John Eagal <br /> �Signature: Date;� -a <br /> Print Name: Slgnature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date- <br /> Print Name: Signature: Date: i <br /> i <br /> I� <br /> j <br /> i <br />