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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 /> �---I 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 /> V-�3aV\tie m :-41k, <br /> G <br /> Minor Subdivision -- 6 - (6/86 ) <br />