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s <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 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 /> Navarra Family LLC ��yy ���� <br /> Print Name: Carl B. Navarra Signature: e(� 'e• �Q-t/jl�c_ Date: <br /> Print Name: _ Signature: Date: <br /> Print Name: _ Signature: Dale: <br /> Print Name: _ Signature: Date: <br /> Print Name: _ Signature: Date: <br /> F\DEVSVO\Planning Application Forms\ Page 3 Of%b No 2012-60 Lot Line Adjustment.doc <br /> Lol Lme Adjustment.doc.(Revised 05-11-09) <br />