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APPLICATION - USE PERMIT <br /> remployees <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURESONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION.er/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and from any claim, action or proceeding against the Owner/Agent's project. <br /> certify under penalty of perjury that I am (check one): <br /> i <br /> i <br /> O Legal property owner(owner includes partner, trustee, trustor, or corporate officer) <br /> of the property(s) involved in this application, or <br /> O Legal agent (attach proof Of the owner's consent to the application of the property's <br /> involved in this application and have been authorized to file on their behalf., and that the <br /> foregoing application statements are true and correct. <br /> I / " <br /> Print Name: JIr ivl ��lI L Signat6re• _ /' Date: �� <br /> Print Name: Signature: / Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />