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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <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 claire, actlon <br /> or proceeding against the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am(check one): <br /> xLegal property owner(owner Includes partner,trustee,trustor,or corporate officer) of the property(s) Involved In <br /> this application,or <br /> 11 Legal agent (attach proof of the owner's consent to the application of the property's involved In this application <br /> and have been authorized to file on their behalf.,and that the foregoing application statements are true and <br /> correct. <br /> /� / <br /> Print Name: p IUez ✓`sGr 5 y,LC Signature: - ✓`2S Date: 46 �Z <br /> Print Name: T Lpasta 9- LR C,c ? r A Signature Date: 40- 5;e- 5 7 <br /> Print Name: }'.c-tZ ALKApISJp Q12CffAI22SJAJ§Ignature: K05;.Date: /l ' 3 'G1-7 <br /> Print Narne: _ Signature: Date: <br /> Print Name: Signature: Date: <br /> -s- <br />