Laserfiche WebLink
APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY OEVELOPMENT DEPARTMENT <br /> t AllTH0ii�Zi4T1t]f4t4 fl11tAT[JIiE <br /> ° <br /> 0�Rw17t) <br /> 1,the owner/Agent agree,to defend,Indemnify,and hold harmless the County and its agents,offfcgs and emptoyees tram any clai actio <br /> or proceeding against the OwnedAgenrs project. n <br /> 1,further, certify under penalty of perjury that I.am(check one): <br /> 4 <br /> 09 Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)Involved In <br /> this application,or <br /> O Legal agent(attach proof of the owner's consent to the application of thepro <br /> and have been authorized to file on their behalf.,and that the foregoing application statements are s Involved In itrue plod tion <br /> correct, <br /> Print Name: Arthur J. Housle <br /> Signature Date: <br /> Print Name: Judith A. Houslpv Signatur : r <br /> Date: <br /> Print Name: Signature: <br /> Dake: <br /> Print Name: <br /> Signature; Date: <br /> Prfnt Name: Signature: <br /> Date.- <br /> -4- <br />