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APPL <br /> CATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITYIDEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I <br /> ee,to defend,IndemnW,and hold harmless the County and Its agents,officers and employees from any claim,action or <br /> gainst the Owne 1Agent's pro/ect. <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)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 Me on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: ` - <br /> Print Namr. o� ,-i Yr- .'I t�„v� � Signature: C Date: <br /> Pnnt.Nama: Slpnature: Data: <br /> Print Nomar SIDnatural Dabr <br /> Print Name: — d/pnalunt Date, <br /> S/ nature: Date: <br /> xnpxxuury roxx xrv, x-ro-w ❑xol <br /> .5. <br />