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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> Fernployees <br /> E OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> ent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> any claim, action or proceeding against the Owner/Agent's project. <br /> fy under penalty of perjury that I am (check one): <br /> erty owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> tn <br /> d in this application, or <br /> gal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> tion and have been authorized to file on their behalf., and that the foregoing application statements are <br /> d correct. <br /> me: CJCV e` N f`O AYY' 0 Signatu Date:'[fin /me: Cfl La tJ aA- � y��&)�N.��riG6i9nafure: - -"�G1 ` �y'C�^� Date:me: Signature: Date: <br /> me: Signature: Date: <br /> ame: Signature: Date: <br />