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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> mt <br /> '< 4tVY. { k"'llt:c7 } Ix <br /> JPJfctf7A00 ' Iil� f ` 1 #..... .. . <br /> 1, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> from any claim, action or proceeding against the OwnerIAgent's project. <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) <br /> involved in this application, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application)of the owner of the property(s) <br /> involved in this application and have been authorized to file on their behalf, and that the foregoing <br /> application statements aro true and correct to the best of my knowledge and belief. <br /> Print Name: Lindy B. Bacchetti ignature- Date: _pZ <br /> Print Name: Maria L. Bacchetti Signatu Date: —� <br /> Print Name: Ida Pellegri gnature: Date: o <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />