Laserfiche WebLink
APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> PILE NUMBER: <br /> AUTHORIZA,T iqt. SfGNATURES: <br /> ONLY THE OWNER,OF THE PROP RTY.OR iAN AUTHQRIZED AGENT.MAY FILE AN APPLICATION. <br /> 1, 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 Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> In Legai 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- <br /> Print Name: ED MACHADO FOR CIRCLE JM DAIRY Signature: Date: 2 6- <br /> Print <br /> Print Name: ED CI Cr� <br /> FOR CIRCLELE JM JM PROPERTIES LLC Signature; Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I' <br /> FMEVSVG1Planning Application Formsl Page 3 of 3 Job No 2007-227 LLA.doc <br /> Lot Line Adjustment.doc.(Revised 6-4-04) 5M LLA r <br />