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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> re <br /> Y THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> eNAgent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> s from any claim, action orproceeding against the Owner/Agent's project. <br /> certify under penalty of perjury that I am (check one): <br /> property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> this application, or <br /> agent(attach proof of the owner's consent to the application of the property's involved in this <br /> and have been authorized to file on their behalf., anhat the foregoing application statements <br /> are true and correct. ,y <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />