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APPLICATION - MAJOR 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 /> 1, the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and its agents,officers and employees from any claim,action or <br /> proceeding against the OwneNAgent's project. <br /> 1, further, certify under penalty of perjury that I am(check one): <br /> e Legal property owner(owner includes partner, trustee, trustor,or corporate officer)of the property(s)involved in <br /> this application,or <br /> o Legal agent(attach proof of the owner's consent to the application 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 true and correct. <br /> r <br /> Lffly f r1 e��L o�e.� r Signature: A Date:Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> -5- <br />