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APPLICATION-MINOR SUBDIVISION <br /> SAN JOAgUlN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> E17 <br /> NLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> r1tt agree,to defend,indemnify,and hold harmless the County and its agents, officers and employees from any claim,action or <br /> st the OwneNAgent's project. <br /> y,under penalty of perjury, that I 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 to We on their behalf.,and that the foregoing application statements are true and correct. <br /> me: PARM���FIS (J7/ILO� Signature: Date: �e6C, L� <br /> me: Signature: Date: <br /> me: Signature: Date: <br /> me: Signature: Date: <br /> me: Signature: Date: <br /> nI NOP5110naP EOM PES, B".0. . I.IIDI <br /> -5- <br />