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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 /> uowner '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 /> 16 i :1' -......._.__......._... ........ . <br /> 471 Gq <br /> G-V7'/•.h PT •.1 C';•rr: .T,Y4tf��. . _J �I .. - <br /> i7i pp_.L.:nn,:.it u. v iT 1 .j.•_....; - i V i_J::�,. <br /> G U Y-�.i. a'1i a1.S.. tiT:+ri%y� 'y';:L:'S•�:J.: <br /> � "�?'�.�'�a,. �"�- ..j .moi ..�Cr��.'..• `."�'A'L' .$:3:.w�"`wl "'.�S"TK''1'x'^'.r6._�.,a« �.Lug`ritl►n'Z.-�/e'��'.irS�1`Ih..sf�'�.i�.wr\ .. ... <br /> ---- MnofC iibdivision - -- pEb 6 -,fir �A ,'I �. „r �;° �;(6/86) <br />