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r i <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> i <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY.OR AN AUTHORIZED AGENT MAY FELE AN-APPLICATION. <br /> 1,the Owner/Agent agree,to defend,Indemnity,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 /> ¢� Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)Involved In this <br /> application,or <br /> I <br /> O Legal agent(affach proof of the owner's consent to the application of the property's involved in this application and <br /> i <br /> have been authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> f <br /> i <br /> Print Nama: mr <br /> I I Signature: <br /> Print Name: -Aki "r !� eki ✓ Signature: � � ,t-� Date: <br /> T- I/ <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> E <br /> i <br /> l <br /> 1:41 PUPA LASE FeCnrery 1,1M <br /> -4- <br />