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I: <br /> I, i <br /> APPLICATION - MINOR SUBDIVISION } <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 /> 1,the OwnerlAgent agree, to defend,indemnify,and hold harmless the County and its agents,officers and employees from`any claim,action or <br /> proceeding against the OwnerlAgent's project. i <br /> J <br /> 1,further, certify under penalty of perjury that l am(check one): t II G <br /> Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)Involved in this <br /> application,or <br /> 0 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 Me on their behalf.,and that the foregoing application statements are true:and correct. <br />}. Print Name: &6c-rz JD 11e— Signature: Dalte: <br /> F ' <br /> i Print Name: Signature: Date: <br /> .I <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> J <br /> Print Name: Signature: Date: <br /> 9 <br /> d <br /> I' I� <br /> EI <br /> 13 I! <br /> ;i <br /> I P <br /> :q .I <br /> 'i <br /> it <br /> II <br /> I! ,i <br />, I <br /> I� <br /> I' rl <br /> �i <br /> I <br /> I' <br /> I <br /> t <br /> A <br /> I, <br /> i <br /> ' I <br /> I, <br /> fj <br /> f <br /> -5- <br />