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e e <br /> I <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT-DEPARTMENT <br /> AUTHORIZATION SIGNATURES I <br /> i <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 /> { <br /> 1,further, certify underpenalty of perjury that l am(check one): <br /> O Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)Involved In this <br /> application,or <br /> x <br /> Legal agent(attach proof of the owners consent to the application of the property's Involved in this application and <br /> have been authorized to rile on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: <br /> AMi Signature: Date: II <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: } <br /> Print Name: <br /> Signature: Date: <br /> i <br /> i <br /> 1 <br /> i <br />