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APPLICATION - MINOR SUBDIVISION : <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> IF ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1,the OwnerlAgent agree,to defend,indemnify,and hold harrnlesi the County and its agents,officers and employees from any claim,action or <br /> proceeding against the OwnerlAgent's project. <br /> 1,further, certify under penalty of perjury that i am(check one): <br /> Legal property owner(owner includes partner,trustee, (rustor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> O Legal agent(attach proof of the owner's consent to the application of fhe 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: za'"t.0 C h e ig Signature: + <br /> Dater <br /> Print Name: Allxuu 6 k e2 Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> 1. <br /> -5- <br />