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Sent by: 360networks 5413187416; 11 /20/2000 2:48PM; #958; Page 5/5 <br /> n ->:100networKe; #060; Page 8 <br /> N eca LVod; „ /20/2000 2:3•PM� <br /> NOV 20 200rd 12: 15 <br /> FR FOSTER WF,EEI.ER SQC 9169200594 TO 1541318'7416-9000 P.06i06 <br /> APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> ONLY 7H6 OWNER OF THE PRt7PL°RT�'OR AN AUTHORIZrD AOCtVT MAY FILE An/ APpucAr101y_ <br /> anY aproe, to defend, Indemnify, and hold hannl"'v the County and Its agontm, ofYlo•nv and <br /> /, tl�e OwneNAg nct/on or.proceeding epalnat the OwnerlAgont's P—Joct <br /> vmploy•e.q from any claim, <br /> I furlhar, certify under Pe <br /> y of perfury that I am (check Otte): <br /> Lnpa/property <br /> owner(owner Includes partner, <br /> bvstN, truEtor, or corporate offlcor) of the proP•nY(s) <br /> involved In this opplicatlon, Or P eR a Invol"d In this <br /> cat/on end have been authorized to filo on their behalf.. and thOt the foregoing application 9tetvmenCs <br /> C3 Legal agent(attach proof of the owners consent to the apP/lcatlon of the roe Y <br /> appl! <br /> are trua and correct <br /> Print Name: <br /> �eeV 1, QGSignatuti• <br /> pates: �— <br /> SIona wrv: <br /> PrMt Names: <br /> - <br /> Signature: Date: <br /> Print Name; <br /> 9tgnature: <br /> Pr/nt Nemo: <br /> Date: <br /> Signo tura: <br /> Print Names: <br /> mi gra ^,(arra , z, X4171 A7416 PAGE.05 <br />