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APPLICATION — ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENCY MAY FILE AN APPLICATION. <br /> 1, the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents, officers, and employees from <br /> any claim,action or proceeding against the Owner/Agent's project. <br /> 1, further, 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)involved <br /> in this application, or <br /> Legal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf, and that the foregoing application statements are <br /> true and correct. <br /> Print Name: -�0 a O V Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> P:\STOCKTOM122970\dOCS\05072004 App Zone Reclassification-mvp1doc Page 5 of 5 <br />