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Uct 15 03 0S: 27a San -oaquin Caunty 4682 `7 P. 6 <br /> APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> - AUT14 RZATIDNSIGNATURES <br /> ONL Y THE OWNER OP THEPROPERrY ORANAUMORIZED AGENTMAY FILE AN APPLICATION. <br /> 1,the Owner/Agant agree,to defend,indenmify,and hotd harmless file County and its agents,officers and employees from any claim,action <br /> or proceeding against the OwnerlAgent's project. <br /> 1,further, certify urlderpenatty of perjurythat l am(check one]: <br /> Legal property owner(owner includes partner,trustee, truslor, or corporate officer)of the property(s)Involved In this <br /> application,or <br /> O Legal agent(a Hach proof of owner's consent to the application of the property's involved in tills application and <br /> hav been a onxed t e Ont iPbeh­57F,and that the foregoing application statements are true and correct. <br /> \L <br /> Print Na a: Signature: � �� <br /> Date: -�---,i— <br /> Print Nam a: 2 1 <br /> Signature: Date: <br /> Print Name: <br /> Signature: Date: <br /> Print Name: Signature: <br /> Data: <br /> Print Name: Signature: <br /> Date: <br /> s- <br />