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IME <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner , trustee, trustor , <br /> or corporate officer ) , <br /> LI Uwner 's legal ,agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and at the regoi i ue and correct . <br /> (Signature ) (Date' ) <br /> Minor Subdivision - 6 - ( 10/85) <br />