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USE PERMIT <br /> _ SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> � AUTHORIZATION SIGNATURES <br /> _ UNL Y 7 HEO WNER OF THE PROPERTY ORAN AUTHORIZED AGENT MAY FILE AN APPLICATION <br /> 1, the-Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, <br /> officers and employees from any claim, action or proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> j <br /> O Legal property owner(owner includes partner, trustee, trustor, or corporate <br /> officer) of the property(s) involved in this application, or <br /> A' Legal agent(attach proof of the owner's consent to the application of the <br /> property's involved in this application and have been authorized to file on their <br /> behalf., and that the foregoing application statements are true and correct. <br /> Print Name: (i/1/'15 e1-i2/d Signature: ,/ Date: 6-'22-00 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> RFCEIVED <br /> JUN 2 3 2000 <br /> Comnwn"Y ucve opment Dept. <br />