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APPLICATION - MAJOR SUBDIVISION <br /> Q - I <br /> N: <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> AUTHORIZATION SIGNATURES <br /> r0wner/Agent <br /> E OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> agree, to defend, indemnify, and hold harmless the County and its agents,officers and employees from any claim, <br /> g against the Owner/Agent's project. <br /> der penalty of perjury, that I am (check one): <br /> Legal property owner(owner includes partner, trustee,grantor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf., and that the foregoing application statements are true and correct. <br /> Print Name: Ab& /yJ (�AkX-1-O Signature: <br /> ��� ++. J 1 Date: <br /> Print Name: t� A. Fue jAZc Signature: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> -Print Name: Signature: Date: <br /> F:IOEVSVSWIanning Application FonnSWAJOR SUBONISION(Rev.&03-04) Page 7 of 9 <br />