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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 /> i <br /> 1, the OsvnerlAgent 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 I 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 /> 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 rile on their behalf.,and that the foregoing application statements are true and correct. <br /> 1: <br /> Print Name: b`j, Signature: Date:' <br /> Es <br /> i <br /> Print Name: 1 / Signature: C:- Date <br /> . b <br /> '1 <br /> Print Name: Signature: Date. <br /> I� <br /> Print Name: Signature: Date: <br /> i; <br /> Print Name: Signature: _ Date: <br /> i1 1 <br /> 5:41 PMPA LA99 February;,1999 <br /> -4- <br />