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APPLICATION - MAJOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN.. APPLICATION... <br /> I,the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim,aJinthis <br /> proceeding against the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am(check one): <br /> XLegal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s) involapplication,orO Legal agent(attach proof of the owner's consent to the application of the property's involved in this applicahave been authorized to file on their behalf.,and that the foregoing application statements are true and corr <br /> „� ``'' (� p <br /> Print Name: ftPI <br /> P 7 D067 Signature <br /> os�r�//�� -�? J%L r Date: <br /> Print Name: � ��U�1V�Ut-Y U Signature:^ Date: <br /> Print Name: 6J2C-- CSC' Signatur r— Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />