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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 MAYFILE AN APPLICATION. <br /> 7theOwnerlAgent agree, to defend, indemnify,and hold harmless the County and its agents, officers and employees from any claim,action or <br /> gainst the OwneNAgent's project. <br /> 1, further, certify under penalty of perjury that l am(check one): <br /> p Legal property owner(owner includes partner, trustee, trustor, 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 the property's Involved In this application and <br /> have been authorized to rile on their behalf,and that the foregoing application statements are true and correct. <br /> Print Name: rL Signature: Date: /� <br /> Print Name: Signature: Date: <br /> L <br /> e: Signature: Date: <br /> e: Signature: Date: <br /> e: Signature: Date: <br />