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I certify under penalty of perjury that I am (check one ) : <br /> ElLegal Owner ( s ) (All owners must sign as their names appear on the <br /> deed. ) , <br /> Corporate Officer (s ) empowered to sign for the corporation, <br /> Owner ' s legal agent having Power of Attorney for this action (a <br /> notarized Power of Attorney document must accompany the <br /> application ) , <br /> a d tlia the going is true and correct. <br /> ( ig ur ) Dat ) <br /> (Signature ) (Date ) <br /> (Signature ) (Date ) <br /> (Signature ) (Date ) <br /> Zone Reclassification - 7 - ( 7/84 ) <br />