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Oct 03 01 11 : 38a San Joaquin County 4683127 P. 6 <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORdAnON SIGNATURES _ <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAYFUX AN APPLIGITRW <br /> I, <br /> 1,the OwnerlAgent agree,to defend,indemnlly,and hold harmless the County and Its agents.oh7cers and employees from any claim,acticn or <br /> proceeding against the OwnerfAgani's project <br /> t,further, certify under penalty of perjury that t am(check one): <br /> Legal property owner(owner includes partner,trustee,trustor,or corporate Officer)of the property(s)invoived in this <br /> application,or <br /> r <br /> O legal agent(attach proof of the owners consent to tha appace tfcn of the property's involved in this application and <br /> have been authorized to file on their behalf.,and that the foregoing application statements are we and correct <br /> Print Name: /1� e%//N6 Signature_ i' Date: <br /> Print Name: d/ONNr4 JON�4 Signature: r Date: <br /> 4En <br /> Print Name: <br /> Signature: Date: u <br /> Print Name: Signature: Date: _ <br /> Print Name: <br /> Signature: Date: <br /> i <br /> -s- <br />