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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the OwneNAgent agree, to defend, In and hold harmless the County and Its agents, officers and <br /> employees from any claim, action or proceeding against the OwneNAgent's project. <br /> 1, further, certify under penalty of per vry that I 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 owneYs consent to the application of the property's Involved In this, <br /> application and have been authorized to 1719 on their behalf., and th he foregoing application statements <br /> are true and correct. <br /> Print Name: � �/p �d r�e C/l� Signature: �' Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Namar R/anatumt Da N: <br /> Print Namet Rignaturat Patat <br />