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LOT LINE ADJUSTMENT <br /> SAN JOA UIN COUNry COMMUNITY DEVELOPMENT DEPARTMENT <br /> A. <br /> - �r1oN:srcNArrr-Ras <br /> : <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 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,grantor,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. <br /> Print Name: •- ^c CS' <br /> f � Signature: Date: �� .�6 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F.o$VgER/NARK/PLAIWPS/LOTLINEAU.7ApppoRK REV 2/1/99 _A_ <br />