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I certify under penalty of perjury that I am (check one ) ; <br /> Q Legal property Owner (owner includes partner , trustee , trustor , <br /> or corporate officer ) . <br /> U owner 's legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and that the foregoing is true and correct . <br /> (Signature ) -( Date ) <br /> Minor Sut>division - 6 - (10/65 ) <br />