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ly <br /> 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 /> 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 Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am(check one): <br /> i <br /> • Legal property owner(owner includes partner, trustee, trustor, or corporate officer)of the property(s)Involved In this <br /> 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,frle on theirbehalf.,and that the foregoing application statements are true and correct. <br /> Print Name: r �~ g ` ]- 00 <br /> I Si nature: Date: 31- <br /> Print Name: kd Inkla Signature: �J Date:7-3)-00 <br /> Print Name: S. f Oyl� Signature: ,rJka*-+.- Date: <br /> Print Name:<Yq W1A) -TC() Signature: Date: '7—b1—VD <br /> Print Name: L{ R� j9 Signature: L LA Date: <br /> i <br /> i <br /> i <br /> I <br /> k <br /> f <br /> f <br />