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APPLICATION - SITE APPROVAL <br /> FrithAUTHORIZATION SIGNATURES <br /> e <br /> NLY THE'OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> wnedAgent agree, to defend, Indemnify, and hold harmless the County and Its agents, officers aneees from any claim, action or proceeding against the Owner/Agent's project. <br /> I, further, certify under penalty o1 perjury that 1 am (check one): <br /> Legal property owner(owner Includes partner, trustee, trustor, or corporate officer) of the property(s; <br /> Involved In this application, or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's Involved In this, <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and <br /> � <br /> c <br /> correct. I <br /> Print Name: /\p,�q(r� I6Ar,Lp r�, Signature: _ Date.* <br /> Print Name. Signature: Date: <br /> PrintName: Signature: Date:_ _ <br /> Print Name: SIgnetur.: Data: _ <br /> Print N.r...l plan atw. l <br /> Par.l <br />