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I <br /> - I <br /> f <br /> 1 ! APPLICATION - SITE APPROVAL <br /> i <br /> AUTHORIZATION SIGNATURES <br /> MAY F/LEAN APPLICATION. <br /> ONLY THE OWNER OF THE PROPERTY;OR AN AU7HORr7l0 AGENT <br /> 1, the Owner/Agent agree. to defend, indemnify, and hold harmless the County and ifs agents, officers and <br /> e'' loyees from any claim,action orprviceeding agalast the OwnrrlAgOnl"Argil � <br /> 1, further,'certify under penalty of perjury that lam(check onc): <br /> ® Legal property owner(owner includes partner, trustee, trustor, or corporAte officer) of the property(s) <br /> Involved in this application,or <br /> 0 Lcgal agent(attach proof of the owners mnsent to the application of the property's involve elements <br /> this <br /> appllcatldth <br /> n and have been auorized to file on theirbehalr,and that tho foregoing apP c <br /> arc true a{+d corrvrf <br /> I <br /> Doeq:9.^ <br /> PrintNarne:Costoo Mjolesale Cornaraticggoature: Bv• <br /> a Wa�iin7ton cr�Lporation Its qe-e- <br /> Das*- <br /> Print Name: Signature: <br /> , <br /> Date: <br /> Print Name' signature. <br /> Print Nan7s: <br /> Signvtura- Date_ <br /> Data: <br /> Si9nnfyrv: <br /> Print Namie: <br /> I - <br /> I <br /> J <br /> tit <br /> fi <br /> l <br /> I <br /> I <br /> I <br /> 9�573492Fd PAGE.02 <br /> Ccv A7 Qq iR:44 <br /> � TOTAL PAGE.82 ** <br /> mm TOTAL PAGE.02 ** <br /> SEP. 20 ' 99 (MON) 14:40 COMMUNICATION No-2 PAGE. 2 <br />