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_ APPLICATION - MINUR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> x , 1t , <br /> A .bIRITA <br /> QrJLX:THE:bWI�E13 dI:.THE pFtbP� F�f .< ; } ill l .t=1L 'A�) Id1#'Pt.iCAT10iU. <br /> s .. <br /> I,the OwnerlAgent agree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the OwnerlAgent's project. <br /> I,further, certify under penalty of perjury that I am(check one): <br /> Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)Involved In <br /> this application,or <br /> El Legal agent(attach proof of the owner's consent to the application of the property's Involved in this application <br /> and have been authorized to file on their behalf.,and that the foregoing application statements are true and <br /> correct. <br /> SIe, eoeo Date:Print Name: <br /> Print Name: _ Signature: Date: l 2- -49-3 <br /> Print Name: K a-e A e. Slgnatur . `- Date: f—�x 7 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I <br /> 1 <br /> I <br /> i <br /> i <br /> —5— <br />