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)�p0.UtN SITE IMPROVEMENT PLAN <br /> .•.�..lGE'cp <br /> WOODBRIDGE DESIGN GUIDELINES <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> q<<FoR� FILE NUMBER: PA- <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the 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 Agent's project. <br /> I, further, certify under penalty of perjury that I am the Legal agent and that the foregoing application <br /> statements are true and correct. <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F\DEVSVC\Planning Application Forms\Site Improvement Plan, Page 3 of 5 <br /> Woodbridge.doc(Revised 09-19-05) <br />