Laserfiche WebLink
APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> [L7 <br /> Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> oyees from any claim, action or proceeding against the Owner/Agent's project. <br /> rther, 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) <br /> ved in this application, orLegal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> cation and have been authorized to file on their behalf., and that the foregoing application statements <br /> ue and correct. <br /> Print Name: !� —)' ��Jy� <br /> H���-� n6 Mai Signature: =�I ( _ Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />