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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. _ <br /> 1, the OwnarlAgent agree, to defend, indemnify, and hold harMIOSS the County and its agents, oRkers and <br /> 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): k <br /> ❑ L,egal propert owner(owner includes partner, fruafo@, Trustor, or corporate officer) of the pruperty(a) <br /> lnvolved In this appficsbon, or - - + <br /> lvkLegal agent(attach proof of th f owner's consent to the application of the property's in ^�tefi a its <br /> application and have been authorized to file on their behalf, and that the foregoing app <br /> are true and correct. <br /> 1 e �/ <br /> CPrint Name: Signature: __— <br /> Print Name: _ Signature: Dale: <br /> Print Name: _ Signature: Daft: <br /> Print Name: Signature: fie: <br /> Print Name: Signature: OWN: <br />