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f <br /> APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, 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 /> 1, further, certify under penalty of perjury that I am (check one): <br /> XX 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 or the owners c ;s,s�:,t.:, thv app caticn 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 /> HIGHWAY 12 INVESTORS, LLC l LA, <br /> BY: KEVIN HUBER Signature: I Date: /U-/O'G/ <br /> Print Name: 9 <br /> Print Name: Signature: Date: <br /> LPrnin, e: Signature: Date: <br /> e: Signature: Date: <br /> e: Signature: Date: <br />