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FROM D.C. CONSULTING FAX NO. 209 Mar, 22 2000 08:d8F"1 P2 <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AVTMOR21Tj0N SICNATUA&S <br /> ONLY 7F2*thNNdR OF Ti1E w1'OwfRTY OR AM AIIT►/ORQCD I naNT W Y FILE AN A1IL1U TIAN. <br /> 1,the Ownef/Agent agree,to defond,lndamn/fy,and hold nymless the county and/���.otNeers and employees hwn any claim, <br /> proceeding against the Owner/Ag*rrs pro/act y action or <br /> 1,furmoi certify under penalty of pequry that 1 am(cAadc one): <br /> 0' L'geapomad own-(e— parbw,trustee,trusW of Cerporara officer)of the ProwRrtsJ ln+rofved In this <br /> Legal agent(cloth Proof of dra owtrars consent to the a <br /> flava been auMGdzed to fife on Meir bahan..,and that the f��n of the tion 5Uts Mnt&ln�Wd m this d cocabon and <br /> as^v application srarefnetrts are 6w and correct. <br /> f <br /> Print Name: - i'C1 , ii - ;,�, `S 9 atrtro; �yi+G,,� {' I S •_ .q <br /> _ � t• Data„ -� <br /> Prfnt Name: f' <br /> �- � '3 <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature; <br /> Data: <br /> Print Name: Signature; <br /> Date: <br /> _s_ <br />