Laserfiche WebLink
UP/SA/IP <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION, <br /> 1, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees from any <br /> claim, action or proceeding against the Owner/Agent 's project. <br /> 1, further, certify under penalty of perjury that 1 am (check one) : <br /> A Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf) <br /> and that the foregoing application statements are true and correct. <br /> Chandra Sirapu ' <br /> Print Name : Signature: Date: 04/ 15 /2020 <br /> Print Name : Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature : Date : <br /> Print Name: Signature : Date: <br /> Mountain HouselMH Application FormsIMH- UP-SA-IP form-MASTER. doc <br />