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APPLICATION - MAJOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �HORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE;P„ PERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1,the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action or <br /> proceeding against the Owner/Agent's project, r<r. •. <br /> 1,further, certify under penalty of perjury that I am(check one): <br /> Legal property owner(owner Includes partner,trustee,frustor,or corporate officer)of the propbrty(s)Involved In <br /> this application,or <br /> o Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application and <br /> have been authorized to We on their behalf,,and that the foregoing application statements are true and correct. <br /> Print Name: W ��( I �{-lmAb, Signaturer [�L 09 '� t �`� Date: y Q�- <br /> LPrintName: Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> 1 <br /> M11.1�Vta[IIVM�] I�V.If/0/01 i1m) <br /> i 44 —5— <br />