Laserfiche WebLink
15°.P��!N. AP LICATION - LOT LIN ADJUSTMENT <br /> Er cow <br /> z y <br /> n < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> \meq,. -•,•�P FILE NUMBER. <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 May 22,2019; Vincent Ulep,Jr.,Trustee of the Vincent Ulep 1998 <br /> Revocable Trust, dated August 17, 1998 / <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 />