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� w <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN 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 /> 1, further, certify under penalty of penury that I am(check one): <br /> ILegal property owner(owner Includes partner,trustee,trustor,or corporate offlcer)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 file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: N� .�/ Sig ure: Date: f <br /> Print Name: �C.t7LGVIIIV /O1V� Sr Date: <br /> /' �3 a/ <br /> Print Name: 41 �'A Signature: <br /> j print Name: Signature: Date: <br /> Print Name: Signature: Date: 1 <br /> j <br /> I <br /> 1:41 PMPA�LA98 Februa7 7,7999 _y <br />