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APPLICATION - LOT LINE ADJUSTMENT <br /> *�L-6,4w,4 \ <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the County arising from the Owner/Agent's project. <br /> I, 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) <br /> involved in this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. It <br /> Steven Lloyd Diede and Lillian Katrina Diede,as Trustees of the Steven Lloyd Di a and Lillian Katrina Diede 1991 Living <br /> Trust; <br /> Print Name: Steven Lloyd Diede.Trustee Signat, Date: �� 3 — L <br /> Print Name: Lillian Katrina Diede, Trustee Signature: te: 3• �� G <br /> Kurt Kautz and Sandra Kautz <br /> Print Name: Kurt Kautz Signature: Date: <br /> Print Name: Sandra Kautz Signature: �- Date: <br /> F?DEVSMPlanning Application Foanst Page 3 of 3 Job No 2015-249 LLA 1 <br /> Lot Line Adjustment.doc.(Revised 05-11-09) <br />