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fOR, <br /> z VPx­ <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARor <br /> TMENT ` * <br /> A1ITNOR.lZATlON SIGNATURES. <br /> ONLY:TNF.OWIVFR OF TNF PROPERTY OR AN At�TliOR1ZFl3 AGFNTlItA Y FILE AN APPLICATION, <br /> �. <br /> 1,the Owner/Agent agree,to defend,indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project. <br /> 1,further,1 certify under penalty of perjury that!am'(check one): <br /> O Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)involved In this <br /> application,or <br /> O 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 <br /> to file on their behalf.,and that the foregoing applfcatlan statements are true and correct. <br /> PrintName: !��l� �Il�}S Signatures Date: <br /> Print Name: 2 Signature: Date: �d <br /> Print Name: f i Signature: Date: C_ <br /> Print Name: Signature: Date: <br /> Print Name: Signature; Date: <br /> I <br /> I <br /> i <br /> I <br /> I <br /> 1 <br /> I <br /> .. ... „�^�•�-;.-+%ter tira+d ...�-»..—.�::.. .� -+i- <br /> N <br /> 1:41 PMPA_LA"February 7,7988 <br /> I <br /> I <br />