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Fremont County Fire Protection Plan Form 9/28/2016 page # 3 of 5 <br />By signing this Application, the Applicant, or the agent/representative acting with due <br />authorization on behalf of the Applicant, hereby certifies that all information contained in the <br />application and any attachments to the Application, is true and correct to the best of Applicant’s <br />knowledge and belief. <br />Applicant understands that any required private or public improvements imposed as a <br />contingency for approval of the application may be required as a part of the approval process. <br />Fremont County hereby advises Applicant that if any material information contained herein is <br />determined to be misleading, inaccurate or false, the Board of Commissioners may take any and <br />all reasonable and appropriate steps to declare actions of the Board regarding the Application to <br />be null and void. <br />Signing this Application is a declaration by the Applicant to conform to all plans, drawings, and <br />commitments submitted with or contained within this Application, provided that the same is in <br />conformance with the Fremont County Zoning Resolution. <br />Applicant Printed Name Signature Date <br />Owner Printed Name Signature Date