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APPLICATION' MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORI7ATtt3N SIGNATURES <br /> : '', - ,':ONLY>TF1I:AWNEt�OFTFIEPROPER1YdRANAi17FlQRIZEp.aC,ENtAAAYFILIrANAPPLiCATION, ..= <br /> I,the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from an claim actio <br /> or proceeding against the Owner/Agent's project, y <br /> 1,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 property(s)Involved In <br /> this application,or <br /> 0 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 /> II <br /> Print Name: Albert C Wollenberg Jr I, <br /> Signature: Date: l <br /> Print Name: Kevin B Delu; f B <br /> ,Signature: Date: !°� 0 Qtr <br /> Print Nae: Date: <br /> t <br /> Date: <br /> Print Name: <br /> Signature: Date: j <br /> Print Name: <br /> Signature: Date: <br /> €� <br /> a <br /> s � <br /> i <br /> I� <br /> ,i <br /> I; <br /> 41 <br /> `I <br /> r - <br /> _.._ <br /> it <br /> I <br /> I� <br /> k <br /> I: <br />