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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 AGENT 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 any claim,action <br /> or proceeding against the Owner/Agent's project. <br /> 1,lurther, certify under penalty olper/ur!that/am(check one): <br /> O Legal property owner(owner Includes partner, trustee, trustor, or corporate officer)of the property(s)involved In this <br /> application, or <br /> O Legal agent(aflach proof of the owner's consent to the application of the property's involved in this application and <br /> have been authorized to the on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: Signature: <br /> Date: <br /> Print Name: _ Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br />