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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> -0NLY THE OWNER;OF THE,PROPERTY OR AN-AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the OwnerlAgent agree, to defend, Indemnify, and hold harmless the County and Its agents, officers and <br /> employees from any claim, action or procoeding against the OwnorlAgont's project. <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> i(X Legal property owner(ownerIncludes 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. Steve Ohm <br /> Slgnaturo: Daia:12/ 1 6/0 2 <br /> Print Name: W i 11 Yam - m <br /> Slgnaturo: Data:—1-2—/1-6 —02 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> P.tnr N.m•, Plan.eu"l <br /> Oa•I <br /> vq <br /> s <br />