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APPLICATIC ' - SITE APPROVAL <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, actionor proceeding against the OwnerlAgent's project. <br /> 1, further, certify under penalty of perjury that 1 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 /> 0 Legal agent(attach proof Of the owner's consent to the application Cf 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: –� /� - L..._$� y�b2 Signature: Date: <br /> Prin[Name: fit f�jJT 4 Signature: — <br /> //�� Date: <br /> Print Name: lC`X// A;I��� !�1 Lt/� Signature: <br /> Date: <br /> Print Name: Signature: <br /> Data: <br /> Print Name: Signature: <br /> Date: <br />