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2� <br /> p4Ut� APPLICATION - MAJOR SUBDIVISION <br /> e <br /> N: <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> °4c'%Foa�''p • FILE NO: MS- <br /> AUTHORIZATION SIGNATURES <br /> 7rn1A <br /> THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> nt agree,to defend,indemnify,and hold harmless the County and its agents, officers and employees from any claim, <br /> ing against the Owner/Agent's project. <br /> er penalty of perjury, that I am (check one): <br /> erty owner(owner includes partner, trustee,grantor,or corporate officer)of the property(s)involved in this <br /> ,or <br /> nt(attach proof of the owners consent to the application of the property's involved in this application and have been <br /> to file on their behalf.,and that the foregoing application statements are true and correct. / / <br /> Print Name: a�-n�i� / 5 h�i Signature: _ Date: 6 '9—`'� <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F IDEVSVS1Planning Application FOnns4NAJOR SUBDIVISION(Rev. 12-09-04) Page 7 of 9 <br />