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❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> 44-4 <br /> Legal Property Owner (owner includes partner, trustee, trustor , <br /> or corporate officer ) , <br /> U owner 's legal agent (attach proof of the owner 's consent to file <br /> the application) , <br /> and hat the foregoing is tr a and correct. <br /> (Signature X—, (Date ) <br /> Minor Subdivision - 6 - (6/86 ) <br />