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w <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: 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 mold harmless the County and its agents,officers and employees from any claim, <br /> action or proceeding against the County arising from the Owner/Agent's project. <br /> I further certify, under penalty of perjury,that I am(check one): <br />! ® Legal property owner(owner includes partner,trustee,grantor, or corporate officer)of the p perty(s}' volved in this <br /> application,or <br /> I <br /> El Legal agent(attach proof of the owner's consent to the application of the property's involvyed i is application and have been <br /> E authorized to file on their behalf., and that the foregoing application statements are true a?� orrect. <br /> I <br /> I <br /> Print Name: Andy C.Alexander Signature: /t Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I <br /> F:1DEVSVS%Planning Application FormslMinor Subdivision(Rev.05-11-09) Page 7 of 9 <br />