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SIGNATURE <br /> I certify under penalty of perjury that I ,am (check one ):: <br /> Legal Property Owner (,owner ,.includes part,ner;, trustee., trustor., <br /> or corporate officer ) , <br /> Owner 's legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and t te foregoing is true .and correct. <br /> 411_/)W", <br /> (Sig ure ) (Date ) <br /> 'Minor Subdivision - 6 - (10/85 ) <br />