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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 /> Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and that ,th for og is tr and correct. <br /> MAY 17, 1 9a9 <br /> (S gnature ) (Date ) <br /> Minor Subdivision - 6 - ( 6/86 ) <br />