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USE PERIM <br /> SAN JOAQUIN COUNTY COMMUNI►(DEVELOPMENT DEPARTMEN7- <br /> AUTHORIZATION SIGNATURES I <br /> -- ------ ----- <br /> �, ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, <br /> officers and 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): <br /> W Legal property owner(owner includes partner, trustee, trustor, or corporate <br /> officer) of the property(s) involved in this application, or <br /> ! 0 Legal agent (attach proof of the owner's consent to the application of the <br /> property's involved in this application and have been authorized to file on their <br /> behalf., and that the foregoing application statements are true and correct. <br /> 3 <br /> Print Name: BOB NUNES Signature: Date: <br /> 1 <br /> i Print Name: Signature: Date: _ <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: ; <br /> f <br />