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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 Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the Owner/Agent's project. <br /> Land <br /> her, certify under penalty of perjury that I am (check one): <br /> egal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> ved in this application, or <br /> egal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> ation and have been authorized to file on their behalf., and that the foregoing application statements <br /> ue and correct. / <br /> ame: �A,�y� ,,,i �iL C /�� Signature: Date:ame: �C r >t i��I Signature: Date:ame: Signature: Date: <br /> ame: Signature: Date: <br /> ame: ___ Signature: Date: <br />