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1 • � r <br /> ❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> 19 Legal Property Owner (owner includes partner, trustee, trustor , <br /> or corporate officer ) , <br /> UOwner ' 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 /> (Signature ) (Date ) <br /> ' G <br /> Minor Subdivision - 6 - (6/86 ) <br />