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APPLICATION - MINOR SUBDIVISION " <br /> SAN JO QUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> II <br /> ONLY.THE:OWNER OF THEFROPER71C.dR.Xhygt�TEiGR� ARGENT IytaY FILE APl AFPUCATION,.' <br /> I,the OwnerlAgent agree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the OwnerlAgent's project. <br /> I, further, certify under penalty of perjury that I am(check one): <br /> 0 Legal property owner(owner Includes partner,frusta*,trustor,or corporate officer)of the property(s) Involved in <br /> this application,or <br /> Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application <br /> and have been authorized to file on UWr behalf.,and that the foregoing application statements are true and <br /> correct. <br /> Print Name: MARIE GARINO WEIDERT J <br /> Signature: ��,� Ld.�T, Date: <br /> Print Name: Signature: j <br /> Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Data: <br /> v�' 1 <br />