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LOT LINE ADJUSTMENT <br /> SAN JOA [RN COUNTY COMMUNITY pEVELOPMENr DEPARTMENT <br /> AUTHO lZATION SIGNATURES <br /> LE AN APPL7CATlON- <br /> ONLY THE OWNER OF THE PROPERTY OR AN AtiTNORlZEB AGENT MAY FI <br /> 1,the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim,action or <br /> proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that l am(check ane): involved in <br /> O Legal property owner(owner includes partner,trustee,grantor,or corporate officer)of the property(s) <br /> this 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 /> have been authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> —17 Date: <br /> �t Signature• <br /> Print Name:/v <br /> l I J F Signature: ,Date. <br /> Print Name: ( d <br /> Date: 10 <br /> Print Name: O Signature: <br /> Date: <br /> Print Name: <br /> Signature: <br /> Date: <br /> Print Name: <br /> Signature: <br />