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c <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 /> 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 /> Legal property owner(owner includes partner, trustee, trustor, or corporate officer)of the property(s)Involved In this <br /> application,or <br /> the owner's cosent to the application of the property's Involved <br /> O ha eabeen at thor!ed to file ch proof fon their behalf., i <br /> Legl and that the foregoing application statements are trueland correct. and <br /> Print Name: <br /> Jean I i (41 e5 Signature: V) Date: <br /> / Ine //0 Signature: Date: <br /> v <br /> Print Name: i/� ���� <br /> Print Name: <br /> Signature: Date: <br /> Print Name: <br /> Signature: Date: <br /> Print Name: <br /> Signature: Date: <br /> -5- <br />