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LOT LINE ADJUSTMENT <br /> SAN JOA U1N COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTNOI?IZATION SIGNATURES <br /> ONLYiiHE OW ER:6F7- E PROPERTY: R AN AUTN BRIM, ENT MAY FILE AN APPLI ATION. <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 /> �! Legal property owner(owner includes partner, trustee,gran(or, or corporate officer)of the property(s)involved in <br /> this 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 to file on their behalf.,and that the foregoing application statements are true and correct, j <br /> r <br /> Print Name: ` l <br /> Signature: _ ZA4� Date: <br /> Print Name: `TCJ Signature- Y1 Date: r_2 - Z3 <br /> Print Name: r F Signatu - Date: t �� -C <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> r <br /> i <br /> ' S <br /> i <br /> I <br /> I <br /> i <br /> 1 <br /> i <br /> I <br /> I <br /> S <br /> 1 <br /> PrpEVSER/TSARKIPLRNAPPS/LOTLINEADJAPPFORM R8 2/1/99 -4- <br /> - <br />