Laserfiche WebLink
APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> - .S <br /> .ssS��tt`r <br /> - . <br /> 33AUTHORIZATION SIGNATURES.--: <br /> ?. ......,3.......>. ?...s> .3r.,..s,>>..s ass>r• J: <br /> ,. s s s_; s 5.1t.53 93 4 3 323 > s s f 2> q ,3= sssfl3�E33 1f3:.,}:.i 33:• 3 ti us3,iEs s :3 <br /> .. .,..E t.«.i..da�.1<. .w•.,i.Y :....,<3E.1t.s.>a.k•t}-.tU+�1 ti...��'a.i1•.E11<bk<1a:41€13i�1.�:t1:�s.i£Y<<>... t. . L. <br /> s3>E3}i4>si3>,3iONLY THE OWN <br /> ER of THE PROPERTY OR AN AUTHORQ[D AGENT MAY FILE AN APPLICATI0N�.5?> <br /> I, the Owner/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 Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am (check one): <br /> o Legal property owner(owner includes partner, trustee, trustor, or corporate officer) <br /> of the property(s) involved in this application, or <br /> 6 Legal agent (attach proof of the owner's consent to the application of the property's � <br /> involved in this application and have been authorized to file on their behalf., and that the <br /> foregoing application statements are true and correct. <br /> r <br /> Print Name: Steve Caste].].a n o s Signature: -- Date: 11/25/91 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />