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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPER rY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the OwnerJAgent 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 perjury that I am(check one): <br /> XjQ' 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 /> �(�}11Yi �! ��(�`j� Signature: Date: <br /> Print Name: iJ <br /> /,c/ Aw/ /y Signature: Data: <br /> Print Name: '.�"' A&l A <br /> Print Name: <br /> Signature: Date: <br /> Print Name: <br /> Signature: Date: <br /> Print Name: <br /> Signature: Date: <br />