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APPLICATION•MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> i <br /> ONLY THE OKWER OF THE PROPERTY ORAN AUTHORIZED AGENT MAYFILE AN APPLICATION, <br /> 1, the Owner/Agent agree, to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim, action or <br /> proceeding against the Owner/Agent's project <br /> I,further, certify under penalty of perjury that 1 am(check one): <br /> 0 Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)Involved In this <br /> application,or <br /> 0 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 file on their behalf,and that the foregoing application statements are true and correct. <br /> Print Name: [d[FTN 'e'klaly Signature: '�r Date:Z Z <br /> Print Nama Signature: Date: <br /> D <br /> Print Name: tily noturer Da Nr <br /> Print Nama Alynst✓rer Data: <br /> Print Name: <br /> Signature! Data: - <br /> u <br />