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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 /> u Owner 's legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and that the foregoing is true and correct. <br /> x x <br /> (Si tore ) (Date ) <br /> Minor Subdivision - 6 - ( 10/85 ) <br />