Laserfiche WebLink
i <br />� PQaiN <br /> 'G APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> j-' FILE NO: MS- <br /> \c�, P <br /> '.AU7siC)RIZATION SfGNATURESA`E` <br /> Ak <br /> ONLYTNE QWNER OF THE PROPERTY i3f�AN AUTHORIZED�1 �N� MAY BILE AN APPi.ICATIpN, <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 /> Jerry D. Paddack and Judy A- Paddack, Co-Trustees of the Jerr nd Judy Padd k199 Fam"fy Trust <br /> Print Name: Jerry D. Paddack,Co-Trustee Signature: �� j� J Date: ~ <br /> Print Narne: Judy A. Paddack Co-Trustee Signature:/ C2 , / Date: 4 - 2S ,- i i <br /> Print Name: David G. Paddack Signature: ,' '.-�'�' /� � bate: <br /> i Print Name: Vernon P. Paddack Signature: Dater <br /> w ,~ <br /> F:IDEVSVS1Planning Application}FormsWinor Subdivision(Rev.12-09-04) Page 5 of 5 2009-36 Minor Subdivision.doc <br />