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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 Owner/Agent agree, to defend,Indemnify,and hold harmless the County and Its agents, officers and employees from any claim,action or <br /> proceeding against the OwneNAgent's project. <br /> 1 further certify, under penalty of perjury,that I am(check one): <br /> O Legal property owner(owner Includes partner, trustee,grantor, or corporate officer)of the property(s)involved In this <br /> application, or <br /> Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and <br /> have been <br /> authorizedto the on their behalf,and that the foregoing application statements are true and correct. <br /> Print Name: 101 Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />