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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> from any claim, action or proceeding against the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that 1 am (check one): <br /> Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the <br /> property(s) involved in this application, or <br /> Legal agent (attach proof of the owner's consent to the application of the property's involved <br /> in this application and have been authorized to file on their behalf., and that the foregoing <br /> application statements are true and correct,.. <br /> Print Name: �c P h � . 24 l �R Signature: �/ Date: �C�/L/q!, <br /> i <br /> PrintName: I C%�.�-I Signature: I� Date: ob z- 4 L <br /> Print Name: mit ' �2�0 Q.—�i Signature: Date: <br /> i <br /> Print Name: PA—L& <br /> ��/ // -w���i(.� Signature: �y�— Date: <br /> Print Name: A—L&IGC Ad `LA--P Signature Date: <br /> -5- <br />