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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 /> W owner 's legal agent (attach proof of the owner 's consent to file <br /> the application), <br /> and that the for oing is true and correct. <br /> (Signature ) (Date ) <br /> Minor Subdivision - 6 - ( 6/86 ) <br /> 1 <br />