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APPLICATION - MAJOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY ORAN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the OwnedAgent agree, to defend,Indemnity,and hold harmless the County and Its agents, officers and employees from any claim,action or <br /> 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)Involved In <br /> this application, or <br /> o Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application and <br /> have been authorized to file on their behalf.,and that the for Ing application statements are true and correct. <br /> Print Name: Edward W . LeBaron Signature: p pf <br /> Date: <br /> Print Name: Donald R. Reynolds Signature: Date: S � 3-O. 'nI <br /> Print Name: Rnhart T RPVnnlrlc Signature: Date: d- crl <br /> Print Name: Constance E. Reynolds Signature: Date: S-3-G m <br /> Print Name: Signature: Date: <br /> -s- <br />