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s LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AIV 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 /> 1,further, certify under penalty of perjury that I am(check one): <br /> O Legal property owner(owner Includes partner,.trustee,trustor,or corporate officer)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 rile on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: 7:>A,-,D (f. F',k,/d r Signature: Date: �.11 <br /> Print Name: Signature. Date: <br /> Print Name: Signature: Date: <br /> i <br /> Print Name., Signature: Date: <br /> Print Name: Signature: Date; <br /> I <br /> I <br /> I <br /> f <br /> I. <br /> 1:41 PMPA_LA9E Febmry 1.1999 <br /> -4- <br />