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APPLICATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 7fprocecd,ng <br /> gent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees from any claim,action or <br /> Pro <br /> ainst the Owner/Agent's project. <br /> fy, under penalty of perjury, that l am(check one): <br /> O Legal property owner(owner Includes partner,trustee,grantor,or corporate officer)of the property(s)involved in this <br /> 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 <br /> "to�rile on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: �!/� �N .f�0!/ry Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> ni xocsueerr mcn xw. o�ooi nuo� <br /> -5- <br />