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` SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> QLegal Owner (s ) (All owners must sign as their names appear on the <br /> deed. ) , <br /> Corporate Officer ( s ) empowered to sign for the corporation, <br /> LJOwner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and that the foregoing is true and correct . <br /> (Signature ) (Date ) <br /> (Signature ) (Date ) <br /> (Signature ) (Date ) <br /> (Signature ) (Date ) <br /> Application Form <br /> Quarry Excavation - 6 - (3/89 ) <br />