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❑ SIGNATURE <br /> I certify under penalty of perjury that 1 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 /> J' , <br /> / w0 <br /> yN" <br /> • .{�_' �'_ / Irl/ <br /> (Signature ) (Date ) <br /> Minor Subdivision - 6 - ( 6/86 ) <br />