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O SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner , trustee, trustor , <br /> or corporate officer ) , <br /> LJOwner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and hat the for going is true and correct. <br /> _ i- -;�e- Ye <br /> ure ) (Date ) <br /> AS INDIVIDUAL RESIDENT OF CORPORATION <br /> Major Subdivision - 6 - ( 6/86 ) <br />