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APPLICATION- SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .......... . .... <br /> .. ... . ... <br /> AUTHORIZATION:SIGNATURES <br /> ONLY THE OWNER OF-THETROPERTY.OR AN AUTHORIZED AGENT MAY FILEAW::APPLICATION..: <br /> 1,the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim,action or <br /> proceeding against the Owner/Agent's project. <br /> 1,further, certify under penalty of perjury that I am(check one): <br /> IV/ Legal property owner(owner Includes partner,trustee,trustor,or corporate ofricer)of the property(s)Involved In this <br /> application,or <br /> 0 Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application and <br /> have been authorized to file an their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: . ,qnature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />