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❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> MA <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 /> • x, <br /> Signa ure ) (Date ) <br /> Minor Subdivision - 6 - ( 6/86 ) <br /> a <br />