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APPLICATION - SITE APPROVA, <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <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 /> Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <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 are <br /> true and correct. <br /> i <br /> Print Name: JV Signature: Date: �� %g 7 <br /> FRrint N ?. C,(J �d�,r �'., Signature: G - .lJ . c. Date: it `-`7 <br /> Print Name: Signature: ` Date: <br /> I <br /> j Print Name: Signature: Date: <br /> i <br /> Print Name: Signature: , Date: <br /> I <br />