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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> 7�theOwnetlftenf <br /> THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> from any claim, action orproceeding against the OwnerlAgent's project. <br /> ertify under penalty of perjury that I am(check one): <br /> L'Linvolved <br /> gal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> in this application, or <br /> gal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> tion and have been authorized to file on their behalf., and that the foregoing application statements ared correct. <br /> f <br /> Print Name: �C. M JN A-t-144wJ Signature: L Date:t, <br /> Print Name: Signature: Date: <br /> PrinrName: Signature: _ Date: <br /> LPrintName: Signature: Date: <br /> rint Name: Signature: Date: <br />