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APPLICATION - MAJOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN A UTHORIZEiD A GENT MA Y 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 /> proceedingipgainst the Owner/Agent's project. <br /> T,.1,further,< ertlfy under penalty ofperjury that 1 am(check one): <br /> o Legal property owner(owner includes partner,frusfea,trustor,or corporate officer)of the property(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 file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: Signature: Date: <br /> Print Name: Irerie F Pe Lana Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: e 6Vl- Signature: ' � 1 Date: <br /> eaanmotvuv� [Rsv.o/s/oi nm) <br /> .. tee•, <br /> ct <br />