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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORtMnON SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY ORAXAE1THOR=:AGENT MAY FILE AN APPLICATION. <br /> I,the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the OwnerlAgent's project. <br /> I, further, certify under penalty of perjury that I am (check one): <br /> i <br /> Legal property owner(owner includes partner,trustee,trustor,or corporate officer) of the property(s) involved in i <br /> this application,or <br /> C Legal agent(attach proof of the owner's consent to the application of the property's Involved in this application <br /> and have been authonzed to file on their behalf,and that the foregoing application statements are true and <br /> correct. <br /> �f <br /> Print Name: �) 1/j� A}�C1 <br /> ILL-)1D � j Signature: `� Date: �cn (� <br /> �1 t <br /> Print Name: h 'Tl A n 6 —� Signature: ,�. 1 Date: <br /> Print Name: Signature: \ Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />