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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE;PROPERTY'OR.ANAUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, 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 unuer penalty of pe-jury that I am (cheek one): <br /> Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved In this application, or <br /> O Legal agent(attach proof of the owner's consent to the application of the.property's Involved In this <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Print Name: 3AMS<, J4.?6=g f< Signature: - Date: <br /> Print Name: Signature Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />