Laserfiche WebLink
s. <br /> APPLICATION — LOT LINE ADJUSTMENT <br /> ` a SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> q <br /> —M P. FILE NUMBER: <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the County arising from the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am (check one): <br /> ® Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Jennings Farms, LP <br /> Print Name: Walsie F.Jennings Signature: Dater <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F TEVSVCTIanning Application Fonnsl Page 3 of 3 Job No 2016-235 LLA <br /> Lot Line Adjustmenidoc.(Revised 05-11-09) <br />