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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR,AN AUTHORIZED'AGENT MAY FILE AN APPLICATION. <br /> 1, the OwneNAgent agree, to defend, Indemnify, and hold harmless the County and Its agents, officers and <br /> employees from any claim, action or proceeding against the OwneNAgent's project. <br /> 1/further, certify under penalty of perjury that I am (check one): <br /> L7 Legal property owner(owner Includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> Involved In this application, or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's Involved In this, <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Print Name: Signature. Date: <br /> Print Name: 1- -P,--�.,, �y t Slgnatura: �- Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Data: <br /> Print Name Signature: Datel <br />