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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT INLAY FILE AN APPLICATION <br /> the Owner/Agent agree,to defend,indemnify,and hold harmless the County and Its agents,officers and employees from any claim,actio <br /> or proceeding against the Owner/Agent's project. f <br /> 1,further certify under penalty of perjury that I am(check one): i I <br /> o Legal property owner(owner includes partner,trustee,trustor, or corporate officer)of the property(s)involved in this <br /> application, or <br /> a Legal agent{attach proof of the owner's consent to the application of the property's involved in this application and i <br /> have been authorized to File on their behalf,and that the foregoing application statements are true and correct. <br /> Print Nam e4 �S'EPf� S +`Z�,.�sCJ Sig}natu_re: Date. J3 d <br /> Print NameA111►AVIly TT f I4110�d2SignatureDaS <br /> AJ <br /> Print Name. Signature: <br /> Print Name: ti✓iDate: <br /> f - <br /> Signature:gnature: Date: <br /> 4 <br /> f <br /> 1:41 PMPA_1.A98 February 1,1999 <br /> -4- <br /> I <br />