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. .. ► . APPLICATION - MAJOR SUBDIVISION <br /> c. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />€ FILE NO: MS- <br /> ,� y °` '' �r:���'r,.�`; ���'��� '�`* �Al1THORIZATfON 5{GN�A�'l7RES��� �,�.➢3 y�'�',,'� .�� ��.,. ; �' `v=P� t. .��. ,��,�; <br /> t-h ONLY THE OWNER OF THE PROPERTY OR AN AEITHQRiZED AGENT MAY FILE AN APPf_iCA"fION <br /> I,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. <br /> I further certify,under penalty of perjury,that I am(check one): <br /> Legal property owner (owner includes partner, trustee, grantor, or corporate officer) of the property(s) involved in this <br /> application,or <br /> Legal agent (attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: Steven E.Pechin Signature: Date: 11/01/2005 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I F:\1DEVSVSI\Planning Application Forms\\MAJOR SUBDIVISION(Rev.12-09-04) Page 7 of 9 <br />