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1133%98 MON 16: 43 F.-IX 6038697317 LARRY LITWILER <br /> APPLICATION - SITE APPROVAL <br /> ` AUTHORIZATION''SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED'AGENT:MAY FILE AN APPLICATION. <br /> I, the Owner/;gent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> from any claim, action or proceeding against the Owner/Agent's project. <br /> l <br /> I, further, certify under penalty of perjury that I am (check one): <br /> Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the <br /> property(s) involved in this application, or <br /> Legal agent (attach proof of the owner's consent to the application of the property's involved <br /> in this application and have been authorized to file on their behalf., and that the foregoing <br /> application statements are true and correct. <br /> I Print Name: Signature: B Date: <br /> I Print Name: Signature: Date: <br /> Print Name: Signature: Cate: <br /> Print Name: Signattsr_e; <br /> Date: <br /> IL Print Name: Signature: Date: <br />