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APPLICATION LOT LINECJUSTME T <br /> ^ � 8,N JC AQUIN COUNTY COTAIMUNITY DEVELOPMENT DFPARTP SENT <br /> -. FIDE NUMBER. <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE A APPLICATION. <br /> 1, the ar/Agent .ag,ree, to defend, indamnify, and hold harmless the County and its, agents, officers and <br /> empf yeez,fromi arty ciaim. action or prrco_,ading against the Own. AG:c—nt's projC-ct_ <br /> y„ further, oertify miler penalty of p rjury that I am (check orae)_ <br /> Legal property owner (owner inclu.des pa sir. Qrtistee, trustor. ar Corporate office-r)€5f the property(s) <br /> nvoly ±d in this app{icadw, o <br /> L .al agent (a►tach prW of the, owner's consent to the ap-ification of the propert s involved in this } <br /> application and nave been authorized to fCa on ffieir'belialf,,,anal t'h'at the foregoiN application. statem. 45itts <br /> .fie true and em-rest_ <br /> T:rte L'. e� ctx3 _ �Crl4 thte:Fxecufe <br /> B%- z <br /> April C.`, €.iiltettc;Tr-_.x - April C_GiFllee,Twit-;tee _ <br /> 4 <br /> P+..rk. S.Gerald Rema nccr'l`ru t. C: apiu Tra z'itir+-{,ms.- <br /> i, _ T B T• - <br /> Banc{3. €erald,Cj:r ru:�ckb C hales t_1-i3pin, CA�-Tr a®--I i, <br /> Marie{icra] t is l 1, `�*Tii� tcc Caro[Chapin } :C:�,R�`r.t.cc <br /> aa'm I-xmited: '1014 2014 <br /> _ I[owzi d A. Wi II'Gr~.7mor TnLma <br /> By <br /> F:le;�`vN�ar;!A_ Will.],J.r,, '1'n tcx , <br /> L�tc. �,�cct�tca�: , 2014 <br /> c"R9mc°f3cr4lt1 C3a1_l�crt t _ <br /> Vtr'cr�ci�lin,:lY_�'��ill,. <br /> Date Executed: .4�I�1 <br /> Clition 11-ark{ierald <br /> 64,+3.."4�_F9t_I.,.r 1 L.i:.,st•,- <br />