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SIGNATURE <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 /> LJOwner 's legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and ,, at t foregoing is true and correct . <br /> (� ��-t�/`�,1,�2.� <br /> (Signature ) (Date ) <br /> v <br /> Minor Subdivision - 6 - ( 10/85 ) <br />