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e <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .'AUTHCRtZATION'SIGNATURES II <br /> CNL`7,HE:CWNFR OF THEPROP�2TY.CRAIV.AUTP�AGENT MAY FILE AN APPUCATICN.: <br /> I,the OwnedAgent 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 /> 1, turther, certify under penalty of perjury that I am(check onel: <br /> i )/ Legal property owner(owner includes partner,trustee,trustor,or corporate orflcer)of the procerty(sl involved in <br /> f this appilcation,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 authorized to Me on their behalf,and that the foregoing application statements are true and <br /> correct. <br /> 1 <br /> J I <br /> Print.Name: Y� (,'�/ �/f I Signature: �— date: <br /> I /. <br /> Print Name: Signature: l Date: <br /> I <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />