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o ' <br /> SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal 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 /> LIOwner ' s legal agent having Power of Attorney for this action (a <br /> notarized Power of Attorney document must accompany the <br /> application ) , <br /> and that the foregoing is true and correct . Q �^ <br /> 00 <br /> T � (Date ) <br /> (Signature ) <br /> (Signature ) (Date ) <br /> (Signature ) (Date ) <br /> (Signature ) (Date ) <br /> Minor Subdivision - 7 - ( 7/84 ) <br />