Laserfiche WebLink
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 /> 7,, <br /> ree, to defend, indemnify,and hold harmless the County and its agents,officers and employees from any claim,action or <br /> e OwneNAgent's project. <br /> r penalty of perjury, that 1 am(check one): <br /> Legal property owner(ownerincludes partner,trustee,grantor,orcorporate officer)of the property(s)involved in this <br /> application, or <br /> O Legal agent(attach proof of the owner's consent to file application of the property's involved in this application and <br /> have been authorized to file on their behalf,and that the foregoing application statements are true and correct. <br /> Print Name: : v) Signature: e- Date: <br /> Print Name: Signature: / I c i „ / <br /> Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> +�w�cuenva � xw. a-�o.m iumi <br /> c. <br />