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°rte c SITE IMPROVEMENT PLAN <br /> (" STOCKTON METROPOLITAN AIRPORT <br /> `•` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> \�d�li✓i5la �• <br /> FILE NUMBER: IP- <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the Agent's project. <br /> I, further, certify under penalty of perjury that I am the Legal agent and that the foregoing application <br /> statements are true and correct. <br /> Print Name: A� 1 AN ` d H Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> The applicant is a tenant at the Stockton Metropolitan Airport and has sufficient interest in the subject property to file the <br /> application. <br /> Print Name: ;L.Q t �� L (, ,� Signature: <br /> Date: 10 p°, ort Director <br /> F:\DEVSVC\Planning Application Forms\Site Improvement Plan. Page 4 of 6 <br /> Stkn Alrport.doc(Revised 6-03-04 <br />