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❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner, trustee, trustor , <br /> or corporate officer ) , <br /> l', J 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 /> (Signatur ) (Date ) <br /> Z6 <br /> Signature, hevr USA nc. <br /> Minor Subdivision - 6 - ( 6/86 ) <br />