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!. s <br /> v. <br /> APPLICATION - MINOR SUBDIVISION <br /> r SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> me <br /> i. q' sa' s3 a• <br /> • �<.; •',��v;�.•�.�y., aurHo�unoH�stoivniitR.. • < ...� .•" {r.,,�. ` <br /> .. ,, �; :... ,.:,, YCN Ya• �: ria] ..: E OiytiR. OR`' Nt% oRIZt: :ItO •: I• A ..•C�AT10N*�:. .,'.:.. '�,. .. ........ :.... ` <br /> 1,the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and Its agents,officejs and employees from any claim,action <br /> or proceedln,q against the OwnedAgent's project <br /> l [,further, certify under penalty of perjury that I,am(check one): <br /> Legal roe owner owner Includes partner,trustee,trustor,or corporate officer)of the property(s)Involved In <br /> � g I p P rt5r ( <br /> this application,or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's 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 /> i <br /> F' 444- <br /> Print Name: v Signature• Date: <br /> /y �c e j 4 l r. g Date: Q<J <br /> Print Name; '6 rrt� �� Signature. <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> I <br /> i <br /> i <br /> t <br /> i <br /> II <br /> yf! <br /> 1 <br /> i <br /> Y <br /> J <br /> i <br /> t <br /> —4— <br /> I <br />