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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/Agent's project. <br /> i <br /> I <br /> I, 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 aplication and <br /> have been authorizaed to file on their behalf,and that the foregoing application statements are tune and correct. <br /> Print Name: ' ' c.; III Signature: ) - r� l"1 �. -'}----� - <br /> Date: �-- <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> i <br /> I <br /> I <br /> i <br /> i <br /> 1:41 PMPA_LA98 February 1,1999 <br /> -4- <br />