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APPLICATION - MINOR 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 /> 1, the OwnerlAgent agree, to defend,Indemnify, and hold harmless the County and Its agents, officers and employees from any claim,action or <br /> proceeding against the OwneNAgent's project. <br /> 1, further, certify under penalty of perjury that I am(check one): <br /> qr Legal property owner(owner includes partner, trustee,trustor, or corporate officer)of the property(s)Involved In this <br /> application, or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's involved In this application and <br /> have been authorized to/Ile on their behalf.,and that the foregoing application statements are hue and correct. <br /> Print Name: Ce/-J d )le-, .4 le //0) Signature: '-� � � Date: (60/0" <br /> 0 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />