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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 /> 7OwnerlAgentree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,Ithis <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,trustor,or corporate officer)of the properry(s)Involv <br /> application,or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application and <br /> have been authorized to Me on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: S U-NA A Signature:V�610/--) Date: <br /> Print Name; Signature; Date: <br /> Prtnt.Name: si nature: <br /> PMnt Name: Date: <br /> 3 gnaturw Date: <br /> Print Name: Signature: <br /> Dare: <br /> "1WRDURAPP PORN 11LV. P-10-01 (IND) <br /> �S� <br />