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USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .,� •�st'yt y{�F � t, v+ }{r x�_ � a '.-n. � �i�Q�l, !,�VA7V;.�L�f.r/'�L�r�f����l g 4;:y « i r �q j ,2�� <br /> 1, the Owner/Argent agree, to defend, indemnify, and hold harmless the County and its agents, <br /> officers and employees from any claim, action or proceeding against the Owner/Agent's project <br /> 1, further,,,certify under penalty of perjury that I am (check one): <br /> a Legal property owner(owner includes partner, trustee, trustor, or corporate <br /> officer) of the property(s) Involved in this application, or <br /> Legal agent(attach proof of the owner's corisent to the application of the <br /> property's involved in this application and have been authorized to file on their <br /> behalf., and that the foregoing application statements are true and correct. <br /> Print Narita: <br /> 1 U�G�`�is signature: Date: �'D <br /> � � g <br /> 'Prin-t lUa lie: _ _-- ` -Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: - Signature. _ Date: <br /> Print Name: Signature: Date: <br /> b� s. .i, c.....s..µ. ...•._ '.1 .::'.-ar r ,r - c ... A. . ..'.5C11.4 .- x_ ,. <br /> iy <br /> R <br /> w.-�••.,n w� .k F,oma v S .j F" • 4:: . .. ... .5:.. r;: - .. a s. e .. ' <br /> - Tom.`•�..,.. .,. .. ,. ...� .._ _ a <br /> yy <br />