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APPLICATION - SITE APPHUVAL, <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> i, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I ain(check one): <br /> Q Legal property owner(owner includes partner, trustee, (rustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> Ij <br /> o Legal agent(attach proof of the owner's consent to the application of the property's Involved in this II <br /> analication and have been authorized Wo on their i ahaii, aiid that the foi eguing appi'icaduâ–ºe statements are II <br /> true and correct. <br /> Print Name: John W. Phillips Signature: t-/.: Date: 3-2-3-o/ <br /> Print Name: Barbara A. Phillips Signature: <br /> Print Name: Signature: ^ _ Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />