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Q 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 the foreg.o�ng,--pis rt+tue�and correct. <br /> 715 <br /> (Signature ) (Date ) <br /> '�a'wY�ifij�<<'::+ �`-�a�/'i�-�► -Z. �:i. ^SMV; ',ti -,o�:E_•�' �r��-- <br /> I <br /> Minor Subdivision - 6 - (6/86) <br />