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Describe any displacement of people that will be caused by the project(e.g., numbers of people, housing units): <br /> None. <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> SIGNATURE: <br /> I certify under penalty of perjury that I ant (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 /> ® Legal agent(attach proof of the owner's consent to the application of the properties involved in this <br /> application)and have been authorized to file on their behalf and that the foregoing application <br /> statements are true and correct. <br /> Signature: C��---- Date: February 21, 2018 <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> F:Mountain House/MH Application Forms/MH-Plan Tile Amnd Form-MASTER <br /> -6- <br />