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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 MAY FILE AN APPLICATION <br /> 1,the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and Its agens,officers and employees from any claim,action <br /> or proceeding against the Owner/Agents 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 owners consent to the application of the property's Involved In this apllcation and <br /> have been authorizaed to file on their behalf,and fh the foregoing application statements are tune and correct. <br /> �' + SignatuePrint Name: ime' Date:76* <br /> Print Name: Signature: -4A 1 66 � Date:2Y, ft <br /> ✓ n <br /> Print Name: Signature: Date:V ;� <br /> Print Name: Signature: Date:- <br /> 46- <br /> 1:41 <br /> ate: 46-1:41 pMPA LA99 February 1.1009 <br /> -4- <br />