Laserfiche WebLink
APPLICATION - SITE APPROVAL <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 <br /> employees from any claim, action or proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of penury th,!t!am , eck o„e): <br /> Jc1JLegal property owner(owner Includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> Involved in this application, or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's Involved In this, <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Print Name: in I S T ature: Date: <br /> Print Name: / t 2 C/� Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: Date: <br /> Print Namet signsturaf Owt�t <br /> w <br />