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APPLICA TION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER„OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend,indemnify, and hold harmless the County and Its agents, officers <br /> employees from any claim, action or proceeding against the Owner/Agent's project. and <br /> I, turf t, certify under penalty of perjury that I am(check one): <br /> Legal property owner(owner Includes partner, trustee, trustor, or corporate officer) of the property(s). <br /> Involved In this application, or <br /> L7 Legal agent(attach proof of the owner's consent to the application of the property's Involved In this, <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> PrintName: GY� - <br /> Slgnatur`e�_ `� <br /> Print Name: �-� Date: �� /�� <br /> Signature: ---T <br /> Print Name: Date: <br /> Signature: <br /> Print Name: Date: <br /> Print N.m./ Signature: <br /> •Ipn.eur.i Date: <br /> o.a� <br />