Laserfiche WebLink
i� <br /> PRE-APPLICATION - MINOR SUB <br /> DIVISI <br /> ON <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c� FILE NO: MS- <br /> i <br /> .:,,< AUTHORIZATION SIGNATURES °i <br /> ..,.,4 - F <br /> . .ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED,AGENT MAY F1LE AN APPLICATIiON. <br /> I,the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees from:'i any claim, <br /> action or proceeding against the Owner/Agent's project. i <br /> i <br /> Owner/Argent <br /> further certify, under penalty of perjury,that I am(check one): j <br /> I <br /> ® Legal property owner(owner includes partner, trustee, grantor, or corporate officer)of the property(s) involved in this <br /> application, or <br /> ❑ Ler�L <br /> al agent(attach proof of the owner's consent to the application of the roe ! <br /> rized to file on their behalf., and that the foregoing application statements are true and correctappiication and have been <br /> JOSE LULE Signature: <br /> Date: <br /> RACIELA LULE Signature: i/Date: 3/r8/Vcx-SSignature: <br /> Date: <br /> Signature: <br /> Date: <br /> Signature: <br /> Date: <br /> r <br /> i <br /> I <br /> F:IDEVSVS1Pianning Application FormsWinor Subdivision(Rev.12-09-04) Page 7 of 9 ' <br />