Laserfiche WebLink
SIGNATURE <br />I certify under penalty of perjury that I am (check one): <br />1=4 Legal Owner(s) (All owners must sign as their names appear on the <br />deed.), <br />E] Corporate Officer(s) empowered to sign for the corporation, <br />uOwner'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. <br />L l ti <br />( gnature) /(Date)/ <br />(Si nature) (Date), <br />(Signature) , (Date) <br />(Signature) (bate) <br />Major Subdivision <br />- 9 - <br />(7/84) <br />