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USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTM.4T <br /> AUTHORIZATION SIGNATURES ' <br /> ONLY THE OWNER OF THE PROPERTY ORAN AUTHORIZED AGENT MAY FILE AN'APPLICATION. <br /> 1, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, <br /> officers and employees from any claim, action or proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> o Legal property owner(owner includes partner, trustee, trustor, or corporate <br /> officer) of the property(s) involved in this application, or <br /> o Legal agent(attach proof of the owner's consent to the application of the <br /> property's involved in this application and have been authorized to file on their <br /> behalf., and that the foregoing application statements are true and correct. <br /> Print Name: PAUL E . VAZ , JR. _ Signa4 `l Date: <br /> Print Name: PHILLIP G . VAZ Signat r Date: <br /> Print Name: PETER R.VAZ Signator. eDate: <br /> Print Name: <br /> PERRY J . VAZ Signature L�Datei� 7 <br /> Print Name: __ Signature: Date: <br />