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APPLICATION - SITE APPROVAL <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 <br /> employees from 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 /> O Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved In this application, or <br /> O 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 <br /> are true and correct. ,,((�� <br /> Print Name: ELI Ton) f&i 6Signature: Date: <br /> Print Name: (�.r, Ln. /Zr�-r�Jlo�l� Signature: Date: a <br /> Print Name: Signature: Date: 7 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />