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71 f 117 <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 /> LiOwner ' 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 /> ( Sig re ) ( Date ) <br /> Minor Subdivision - 6 - ( 10/85 ) <br />