Laserfiche WebLink
K . <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION:SIGNATURES: <br /> ONLY THE OWNER OF THE PROPERTY OR AN-AUTHOR=.AGENTMAY FILE AN APPLIGATTCN. <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 Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am (check one): <br /> cl- Legal property owner(owner includes partner,trustee,trustor,or corporate officer) of the property(s)Involved in <br /> this application,or <br /> ❑ 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 fife on their behalf.,and that the oing application statements are true and <br /> correct. <br /> kALL <br /> Print Name:'P - Signa e: ate: ZZ� / <br /> Print Name: G4AW A-2-V 1 Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> :v <br />