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SnNATURE <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 /> Is -legal agent (attach proof of the owner ' s consent to file <br /> " ?the: application ) , <br /> and that the foregoing is true and correct . <br /> i <br /> (Signat e ) (Da e <br /> t <br /> J _ t <br /> Minor Subdivision - 6 - (686 ) <br />