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APPLICATION - MINOR SUBDIVISION <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 /> I, the Owner/Agent agree, to defend,Indemnity,and hold harmless the County and Its agents, otflcers and employees from any claim,action or <br /> proceeding against the Owner/Agent's project <br /> I, further, certify under penalty of perjury that l am(check one): <br /> O Legal property owner(owner Includes partner, trustee, trustor, or corporate OfNcer)of the property(s)Involved In this <br /> application,or <br /> O Legal agent(attach 9 g proo/of the owner's consent to the application o/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: GERALD STRAW Signature: p/o � Date: 2 ` <br /> Print Name: Signature: Date: 7 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> s- <br />