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❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> AJ9 R 1 12 <br /> Legal Property Owner (ownerincludes partner, trustee, trustor , <br /> or corporate officer ) , <br /> ❑ 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 /> a "AA.6 .� a A,,., <br /> (Si atu ) (Date ) <br /> Minor Subdivision - 6 - ( 6/86 ) <br />