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e APPLICATION — MINOR SUBDIVISION <br /> f SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ' FILE NO: MS- <br /> A <br /> S- <br /> AUTHORIZATION SIGNATURES <br /> =agree,,todefend, <br /> NER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> FrI,the ,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim, action or <br /> wner/Agent's project. <br /> alty of perjury,that I am(check one): <br /> Legal property owner (owner includes partner, trustee, grantor, or corporate officer) of the property(s) involved in this <br /> pplication,or <br /> Legal agent (attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> uthorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> : Jr� �Lf� /7 <br /> �G N1 Ca 4— J.? Signature: ri/i, C�.�.�,..� Date: �3"/�7-07 <br /> : M Ont 1 t. ,R, Co' Signature:4�4 �. s--a rf4, Date: j17.. /)7/-7 <br /> : Signature: Date: <br /> : Signature: Date: <br /> : Signature: Date: <br /> RMEMSUlanning Application Fonns\\Minor Subdivision(Rev.12-09-04) Page 7 of 9 <br />