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yap°- A <br /> APPLICAT � ON U16b V 10 <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO : M & <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION . <br /> I , the Owner/Agent agree , to defend , indemnify , and hold harmless the County and its agents , officers and employees from any claim , <br /> action or proceeding against the County arising from the Owner/Agent ' s project . <br /> 1 further certify , under penalty of perjury , that I am (check one ) : <br /> (] Legal property owner ( owner includes partner , trustee , grantor , or corporate officer) of the property (s ) involved in this <br /> application , or <br /> ❑ Legal agent ( attach proof of the owner' s consent to the application of the property 's involved in this application and have been <br /> authorized to file on their behalf. , and that the foregoing application statements are true and correct . <br /> Print Name : Erica I . Woolley, trustee Signature; &Jal oa& r ��, Date : 4/ 12 /2020 <br /> Print Name : .� tic� --� nAr . Signature : Date : C;i - 11 <br /> Print Name : Signature : Date : <br /> Print Name : Signature : Date : <br /> Print Name : Signature : Date : <br /> F :\DEVSVS\Planning Application FormsWinor Subdivision ( Rev. 05-11 - 09 ) Page 7 of 9 <br />