Laserfiche WebLink
4 <br /> S <br /> Lor 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 Owner/Agenf 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 /> f,further, certify under penalty of perjury that I am(check one): <br /> 4I Legal property owner(owner Includes partner,trustee,trustor,or corporate offker)of the property(s)Involved In this <br /> application,or <br /> t$ 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 /> Print Name: � C,c�e ,r-) Signature: Date: --/_ ch ti <br /> Print Name: anec�Ccyl _ Signature: Date:Print Name: .(A� 7 (� s0� Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I <br /> i <br /> i <br /> 1:41 PMPA LA0!Fehuvy 1.1M <br /> -4- <br />