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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILEAIN <br /> 1, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and Its <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, (rustor, or corporate offic <br /> Involved in this application, or <br /> Qtl Legal agent(attach proof of the owner's consent to the application of the proper <br /> application and have been authorized to file on their behalf., and that the foregoing application <br /> true and correct. <br /> Print Name: John Trinkle signature: <br /> Date: 7-<0 - O i <br /> Print Name: Signature: Date: <br /> Signature: Date: <br /> Print Name: pate: <br /> Print Name: Signature: <br /> Print Name: <br /> Signature: Date: <br />