Laserfiche WebLink
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 OwneNAgent agree,to defend, indemnify,and hold harmless the County and Bs agents,officers and employees from any claim, <br /> action or proceeding against the Owner/Agents 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 property(s) involved in this <br /> application,or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's Involved in this application and have been <br /> authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: GHANA PROPERTIES, LLC Signature: BYDate: 3A10<-' <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Data: <br /> Print Name: Signature: Date: <br /> f r , <br /> F:0EVsys\Pta,wry Aqua,Fa SVW!k r Svbdhis o (Rev.aa+-N) Page 7 of 9 <br />