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APPLICATION - SITE APPROVAL <br /> 1,the Owner/Agent agree, to defend,lndemnlfy,and hold harmless the County and Its agents,officers and <br /> employees from any dab%action orprocaeding against the OwnerlAgent's profecL <br /> 4 further, certify underpenally of podwy that I am(check one): <br /> ]• . <br /> Legal property owner(owner Includes partner,trustee,trustor,or corporate olf ew)of the properly(s) <br /> kwolved in this appllcadon,or <br /> ❑ Legal agent(attach proof of the owner's consent to the appaed6n'of the property's immived In this <br /> oppllaedon and have been authorized to Nle on their behalf.,and that We foragoing a1pepllcatlon statements are <br /> tree and corwot <br /> 011 <br /> phw Name: Daniel Mills Date: <br /> plyye; Michael Valdez gym; nate: <br /> ph* , Sally Mi 11 sg t Dom; <br /> FWWName: Margie Valdez Signature. <br /> Pdnt Name: S/gnW". Date: <br /> A. <br /> � w� •g z,rr c � <br />