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❑ SCIRATURE <br /> Z certify under penalty of perjury that Z am (check one) : <br /> Q Legal Property Owner (owner includes partner, trustee, trustor, <br /> or corporate officer ) , <br /> u owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application) , <br /> and that the foregoing is true and correct. <br /> 4 13 <br /> 0!5�3 - -(signature) (Date ) <br /> Minor Subdivision — 6 — (6/86) <br />