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APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION <br /> the OwnedAgent agree,to defend,Indemnify,and hold harmless the County and its agents,officers and employees from any claim,actio <br /> or proceeding against the Owner/Agent's project <br /> 1,further certify under penalty of perjury that 1 am(check one): <br />! Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)Involved in this <br /> application,or <br /> a Legal agent(attach proof of the owner's consent to the application of the property's Involved in this application and <br /> have been authorized to File on their behalf,and that the foregoing application statements are true and correct. <br /> Print Name: I_py✓+a lGt!/Gl t Signature: C Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i� <br /> 1:41 PMPA_LA98 February 1,1999 <br /> -5- <br />