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-��•tiY <br /> w <br /> LOT LINE ADJUSTMENT <br /> SAN JDA Ul Cotl 0 Del OPM DEp r <br /> A RrIA ON S GNA <br /> Nl E E <br /> ANA <br /> he owneNAgent agree,to defend,indemnify,and hold harmless the County and Its agents,officers and employees from any clai171nn <br /> oceeding against the ownedAgent's projecL <br /> further, certify under'penalty of perjury that Ian'(check one): <br /> Legal property owner(owner Includes partner.trustee,grantor,or corporate <br /> of/icer)of the pmperty(s)inv <br /> this application,or <br /> lFcatlon of the property's involved In this application and <br /> O Legal agent(attach proof of the owner's consent to the app rcafion statements are true and correct. <br /> have been authorized to file on their behalf,and that the foregoing aPPf <br /> rinf Name: ��l/SG/L{.e� � 14'S Signature: Date: 11 - 19 -03 <br /> Y <br /> Tint Name: ��A�° _� 7 M Mf N s Signature: <br /> Date: <br /> tint Name: Signature <br /> Date: <br /> 'fiat Name. Signature: <br /> ��� <br /> Irint Name: <br /> Signature: <br /> i <br /> FtOE IMRIVPLRNapes/L07L7�7FAa.1AYP�� <br /> -a- <br /> MV 2!1/99 <br />