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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .. ..... mmis AUTHORiZAtioN SIGNATURES:—' <br /> :-.ONLY.THE OWN"IER:0FLTHETROOERTY ORAN-AUTHbRiZED AGENT MAY.FEL 7 <br /> ' <br /> 1,the OwnerfAgent agree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project. <br /> 1,further, certify under penalty of perjury that I am(check one): <br /> 0 Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)Involved in <br /> this application,or <br /> 0 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 /> Name Date: <br /> Print Na L.2 AQ:2�2 Signat <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name., Signature: Date: <br /> Print Name: Signature: Date: <br />