Laserfiche WebLink
} <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> i <br /> AIiTNORlZhT101 3XM-TURES <br /> ONLY THE OWNER OF THE PROPERTY Oft i� ITEIORRED AGENT MAY FILE A14 APPLICATION.. <br /> I,the Owner/Agent agree,to defend,Indemnify,and hold harmless the County <br /> and Its agents,officers and employees from any claim,action <br /> or proceeding against the OwnerlAgent's project- <br /> 1, <br /> rojectI, further, certify under penalty of perjury that I am (check one): <br /> Cl I <br /> Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)Involved in <br /> this application,or <br /> Q 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 /> i <br /> Print Name: CAROL L. CHITWOOD 3-1 8-99 <br /> Signatur Date: <br /> Print Name: <br /> i <br /> Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: <br /> Date: <br />