Laserfiche WebLink
=mac° APPLICATION - MAJOR SUBDIVISION <br /> 2: 'i <br /> :a <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> cQL'�FOR"��P FILE NO: MS- <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 employees from any claim, <br /> 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, grantor, or corporate officer)of the property(s) involved in this <br /> application, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf., and that the foregoing application statements are true and correct. <br /> Print Name: �, ���fi m -Jr 11 e Jt TJ Signature: ' �/ �V/ �/v <br /> rr L /� /ter t ,y �r9 4iU:� Date: <br /> Print Name: e4A ��;� f�1�'Tr Signature: �A7'` L-dam ,L 1 Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F:\DEVSVS\Planning Application Forms\MAJOR SUBDIVISION(Rev.12-09-04) Page 7 of 9 <br />