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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 /> I,the OwnertAgent agree,to defend,Indemnity,and hold harmless the County and its agents,officers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project. <br /> i <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 property(s) involved in <br /> this application,or <br /> G Legal agent(artach proof of the owner's consent to the application of the property's involved In this application <br /> and have been authorized to file on their behalf.,and that the foregoing application statements are true and <br /> correct. L <br /> Print Name: JAMES K. SMITH Signature: Date: <br /> Print Name: MARTHA F. SMITH Signature: Date: <br /> Print Name: SALLY ATKINS Signatur�� f-1 <(y �� Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br />