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O 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 /> owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application) , <br /> an that the force oing is t ue and correct. <br /> (Signature ) (Date ) <br /> Minor Subdivision - 6 - ( 6/86 ) <br />