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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .. . <br /> AtrrMR1ZKTX)WSX MATURES <br /> ONLY.THE:aWNEFF.�'CFIEPROPERT1:.iWi-4WAUTHORGED.IAGEPIT.MAY FILE AN APPLICATION.. <br /> I,the Owner/Agent 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, further, certify under penalty of perjury that I am(check one): <br /> xi Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)Involved In <br /> this application,or <br /> C Legal agent(attach 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 statement's are true and <br /> correct. <br /> Print Name: Thomas K. Beard Signature: --- '4� te: � <br /> tj <br /> Print Name: General Partner Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />