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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 Owner/Agent agree, to defend, Indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action orproceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that/am (check one): <br /> O Legal property owner(owner Includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> Involved in this application, or <br /> Legal agent(attach proof of the owner's consent to the application of the property's Involved/n 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: ',�(FF VF--Z L_b.A ( <br /> Signature: Date: <br /> Print Name: Signature: <br /> Print Name: Date: <br /> Signature: Date: <br /> Print Name: Signature: <br /> Prim Nemet Date: <br /> I/Pnelurel <br /> Deet <br />