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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES' <br /> ONLY THE OWNER OF THE PROPERTY;CRANAUTHORIZED:AGENTMAY MLE AN APPLICATION.. <br /> 'I <br /> I <br /> I,the Owner/Agent agree,to defend,indemnity,and hold harmless the County and Its agents,officers and employees from any claim,actfon <br /> ior proceeding against the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am (check one): <br /> Legal property owner owner includes partner,trustee,trustor,or corporate offlcer of the property(s)e <br /> ( P p ) p p rty(s)involved in I <br /> this application,or <br /> Legal agent(attach proof of the owner's consent to the application of the property's involved in this application <br /> and have been authorized to file on their behalf_,and that the foregoing application statements are true and <br /> correct, j <br /> Q q I <br /> Print Name: /XZ Signature: Date: / <br /> '/ I <br /> Print Name: C►:fc c3 11 iii 2-7 1 Signature: 1, Date: <br /> Print Name: Signature: Date: <br /> j <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date. <br /> j <br /> I <br />