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. . <br /> . ~' <br /> �l SIGNATURE �----------- - -'----'-----' ------'-' ' -'--'------------- <br /> __ .................___________________ <br /> - <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 /> LJ owoer ' o legal agent (attach proof of the owner ' s consent to filo <br /> the application ) , ' <br /> d that theforegoi.ng is t rue and correct . <br /> (Signature ) 4Date ) <br /> - <br /> '- <br /> Minor Subdivision - G - - ' ( 6/86 ) <br /> ' <br /> . ' <br />