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} j � <br /> E <br /> LOT LINE ADJUSTMENT <br /> SAN.lOAQUIN COUNTY COMMUNITY DEVELOPMENT 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 <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 proparty(s)involved in this <br /> application, or l <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: moi' Gid sign <br /> atu �. Date., <br /> Print Name: <br /> Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: �f <br /> F <br /> f <br /> a <br /> IE <br /> _ I <br /> ' 3 <br /> 1 <br /> .....•,_.,ru...... .«,,,�- .. � `- "'^m �vr""i°'''"'-_�`.�. �....�, �- - „mss., x -, "��.r <br /> i <br /> 9 <br /> i <br /> s <br /> 1:11 PMPA_LA9E Febwary 1.1999 <br /> -4- <br />