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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 /> 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'agalnst the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> ILegal property owner(owner Includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> nvolved In this appllcatlon, or <br /> C 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 Elle on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Print Name: ''1��t }���( �E (. iD�P'tignature: t-(> Date: ZO O <br /> Print Name: Signature. Date: <br /> Print Name: Signature: Date: <br /> Print Name: Slgnaturo: Dato: <br /> Pint Names vignatur+l <br /> Patel �� <br />