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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 MAYFILE <br /> AN APPLICATION. <br /> the Owner/Agent agree, to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim,action <br /> or p oceeding against the Owner/Agent's project - .... .. - - • -- - - <br /> f <br /> 4 <br /> „ <br /> 1,further, certify under penalty of perjury that 1 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 application and <br /> i.. have been authorized to File on their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: � E'/✓ ri ✓ C* Signature: ,, -z, Date: <br /> Print Name: S45Q12.4Signature: Aq ` -Lr--Q Date: <br /> Print Name: DA,/¢L D Z4 5F L-Signature: Date: <br /> 5fi ,,.Rj;• <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> . °ah <br /> { <br /> iY `rR'>f}•'�+�^ _aww. �.nw.'+wr.. «�ra:J ri:_!i%rt�.oar� - <br /> i <br /> I <br /> 1A1 PMPA„LA9E February 1.1999 , <br /> -4- <br /> 'Fr , <br /> 3( <br />