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m <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> f <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 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 l am(check one): <br /> 0 Legal property owner(owner Includes partner,trustee,trustor,or corporate ofFcer)of the property(s)Involved In this <br /> application,or <br /> r <br /> V <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 /> Print Name: 00/V IS tD ,O- .4,44XyAX0 Signature � Date: <br /> Print Name: SW,4(I G- .,,vex-y400 Signature: _�1l t,n drlv`, �lu t f Date: 2 7`awo <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> E! { <br /> I <br /> €i <br /> q <br /> I <br /> E� <br /> { <br /> 'I <br /> V41 PPAPA LA98 February 1,1999 I <br /> a I <br /> I <br />