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r <br /> C ! i <br /> I <br /> LOT LINE ADJUSTMENT. <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> At1THORIUI7IDH SIQNA TURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> /, the Owner/Agent agree,to defend,Indemnfty,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the OwnerlAgent's project. <br /> 1, further, certify under penalty of perjury that 1 am(check one): <br /> Legal property owner(owner Includes partner,trustee,frustor,or corporate ofilcet)of the property(s)Involved In this <br /> 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 We on their behalf.,and that the foregoing application statements are true and correct. � <br /> Print Name: C 1"e9' r 1?AusSEr Signature: Data: /� a <br /> Print Name: PAIA 66&L Signature: Date: <br /> Print Name: X �t�$ C� Signature: Date: `20—O <br /> Print Name: Signature: Date: <br /> Print Name. 2 Signature: Date: ?v"�I — 0 Z <br /> r�PN 00 7-- zzo--0 3 &bZ <br /> �v�h ,fie/u S 175 e_ vr"es <br /> i <br /> ,4RIV•' 007-- Z20 --/* <br /> 6a,191 8, &1 C. �acrsst-r' �us <br /> 120 L5 �• be�'�y <br /> I. <br /> 1:41 PUPkLA90 Febnmy 1,1999 <br /> -4- <br />