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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 9 „ f <br /> 1,the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees,from.anyclaim,action <br /> or proceeding against the Owner/Agent's project. <br /> 1,further,certify under penalty of perjury that 1 am(check one): <br /> 1 <br /> X Legal property owner(owner includes partner, trustee,trustor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have <br /> 1 <br /> been authorized to file on,their behalf.,and that the foregoing application statements are true and correct <br /> 1 <br /> Print Name: ( �� 3"We Signature: ¢ Date: <br /> Print Name: CQ,r CL 1 Signature:. Date: <br /> � r <br /> Print Name: t✓rQLLIV Signature: Date: ej <br /> Print Name: 1 Signature: Date: <br /> Print Name: Signature: Date: <br /> -4- <br />