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SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Owner(s ) (All owners must sign as their names appear on the <br /> deed. ) , <br /> Corporate Officer(s ) empowered to sign for the corporation, <br /> 4--� Owner 's legal agent (attach proof of the owner 's authorization <br /> for you to sign the application) , <br /> and that the foregoing is true and correct. <br /> (Signature ) U (Date ) <br /> �o y -�y <br /> Planned District - 11 - (8/86 ) <br />