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-'PR-0g.-1999 09'43 INVESTORS DIRECT FUNDING 916 614 6515 P.02%02 <br /> APPLICATION - SITE APPROVAL. <br /> PR/VA TE RIGHT OF WAY.ANTIQUATED SUBOMSION <br /> SAN JOAQUIN COUNTYCOMMUNITYDEVELOPMENT DEPARTMENT <br /> AUMORMAT101 GMAruoWj <br /> ONLY 1WE OWNER OF.THE PttOPWYOR AN All HOM=AGENT AiAynLE AN APPUCAMN. <br /> 1,the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents,oflkers and employees from eny cbdm,&oven <br /> proceeding ngalnst the Owner/AgenNs project <br /> I further, certify under penalty of pedury that l am(check one); <br /> A* Legal prop,wry.owner(eer,trustee;Ws torr a corporate offer)of the property(s)invotvocf In this <br /> applicoVon,or <br /> O Legfaf agent(attach proof of the owner's consent to the AppNeatfon of the property's invo"d in this ftvWrWan and <br /> have been eatnorised to file on their behalf,and Nat the foregoing application statements at$pus and c+orrsat. <br /> - <br /> j !nt Name: Signature: � Y� Daw- <br /> ir►tName. t f t?" .1omDate: <br /> Fint Name: Signature: Date. <br /> int Norge: _ Signature; Date: <br /> no f Name, Signature: Date: <br /> -5- <br /> ___ - .,,... ,.. .,,.� ... , vr. . aina�cRr awAtr Attt ttl ❑7 (li rl7M RC_Ifl-.lI1Lf <br /> TOTAL P.02 <br />