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' U n } <br /> APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION WONATURE$ <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the Owner/Agent agree, to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project. <br /> 1,further, certify under penalty of perjury that 1 am(check one): <br /> U- Legal property owner(owner Includes partner, trustee,(rustor,or corporate officer)of the property(s)involved In this <br /> application,or <br /> i' <br /> O Legal agent(attach proof of the owner's consent to the application of the property's lnvolved'!lr this hppllcatlon and <br /> have been authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> I <br /> Print Name: Q.�� ,2 n Signature: \lam- Date: <br /> Print Name: �s <br /> �1 3j,e- Olt I Signature: Date: <br /> Print Name: _ `'Signature: <br /> Print Name: <br /> Pr Signature: Date: <br /> Print Name: Signature: Date: <br /> S. t <br />