Laserfiche WebLink
rL <br /> 4ut�. <br /> APPLICATION - MINOR SUBDIVISION <br /> a• a <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Y. FILE NO: MS- <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I,the Owner/Agent agree,to defend,indemnify, and hold harmless the County and its agents,officers and employees from any claim, <br /> action or proceeding against the Owner/Agent's project. <br /> I further certify, under penalty of perjury,that I am(check one): <br /> ® Legal property owner(owner includes partner,trustee,grantor,or corporate officer)of the property(s)involved in this <br /> application, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf., and that the foregoing application statements are true and correct. <br /> Norma J. Norton,Trustee of the Norton Revocable Trust Under Instrument Dated February 23, 1993 <br /> Print Name: Norma J. Norton,Trustee Signature:�� a� 0 � e'(ri. Date:_y1,0 146W <br /> Print Name: Signature: —7 Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> FADEVSVS7Ianning Application Fonns\Minor Subdivision(Rev.12-09-04) Page of 2016-174 Minor Subdivision <br />