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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES - <br /> ONLY THE.OWNER OF THE PROPERTY OR AN:AUTHORIZEDAGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> 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 /> XLegal property owner(owner includes partner,trustee,trustor, or corporate officer) of the <br /> property(s) involved in this application, or <br /> Legal agent (attach proof of the owner's consent to the application of the property's involved <br /> in this application and have been authorized to file on their behalf., and that the foregoing <br /> app r84on statements are true and correct. <br /> Prin ame: g ��u ✓Z OGS <br /> Si nature: "9 Date: <br /> Print ame: Signature: Date: I� <br /> Print Name: Signature: Date: I <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />