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�C ice'• <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 OwnerlAgenI agree, to defend,Indemnify,and hold harmless the County and its agents,officers and employees from any claim,action <br /> or proceeding against the OwnerlAgenI's project. <br /> 1,further, certify under penalty of perjury that I am(check one): <br /> 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 file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: ' lI-W "O Signature: JDate: .< -'-�1P� -0 <br /> Print Name: �f� f ` ,`�� i Signature: ,.:0t1Qh - Date: <` ' <br /> Print Name: Signature. Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F <br /> S <br />�.t - .: _':"'.+•dV�l`r'�'•f":%Akwti';�„•:�'.r....;f,,.: +:T�•'.s-.r'i.+.r-.-y.�ea. �.m...y�, -,,...:. wn �- T .f..o .-r. . .. w py-.....v.. 'r - ] <br /> f <br /> jj <br /> I <br /> 1:41 PMPA_)A95 F*brvay 1.1 M ' <br /> -4- <br />