Laserfiche WebLink
r f ! l <br /> ' LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVEL4PMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION, <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 /> I, further, certify under penalty of perjury that 1 am(check one): ! <br /> 0 Legal property owner(owner Includes partner, trustee, trustor, or corporate officer) of the property(s)Involved In this <br /> application, or <br /> 0 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: Signature: _ Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> E <br />+ 1:41 PIAPA"98 February 1,1099 <br /> -4' <br /> i w <br />