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°Pa� N AP LICATION — LOT LIN ADJUSTMENT <br /> 2 <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �P FILE NUMBER: <br /> ��/PORN <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 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. <br /> Vincent Ulep,Jr.,as Trustee of the Vincent Ulep,Jr.Trust,dated M y 22,2019;Vincent Ulep,Jr.,Trustee of the Vincent Ulep 1998 <br /> Revocable Trust,dated August 17, 1998 �7 / <br /> Print Name: Vincent Ulep,Jr.,Trustee Signature: Date: < �! <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F:\DEVSVC\Planning Application Forms\ Page 3 of 3 Job No 2018-242 LLA-2 <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br />