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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 /> I, the OwneNAgent 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 /> �J,�fue,,, certify under penalty of perjury that I am (check one): <br /> Legl property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or qqq <br /> ❑ 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 correct. <br /> Print Name:PN_ t"`f r, iy6.e'S Signatu Date: <br /> Print Name: _ Signature: _ Date: <br /> Print Name: Signature: _ Date' <br /> Print Name: Signature: Date: <br /> Print Name: __ Signature: Date: <br />