Laserfiche WebLink
LOT LINE ADJUSTMENT <br /> 5RN JOA U1N COUNTY COMMUNlTYDEVELOPMENT DEAARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER 0I THE PROPERTY OR AN AUTN RlZED AGENT M Y F1LE AN APPLICATION. <br /> 11, the Owner/Agent agree, to defend,indemnify,and hold harmless the County and its agents, officers and employees from any claim,actlon or <br /> Proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that 1 am(check one): <br /> O Legal property Owner(owner Includes partner, trustee,grantor,or corporate officer)of the property(s)Involved In <br /> this application, or <br /> O 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: 1 ip�� /fo rLr->T�.! <br /> . Signature• _ <br /> �^ Date: <br /> Print Name: �-�r 'r f�Q r -f �u . aft <br /> SignaPure: Date: g <br /> Print Name: <br /> Signature., Date: <br /> Print Name: <br /> Signature: . Date: <br /> Print Name:JI Signature:' <br /> Date: <br /> f <br /> I <br /> . r <br /> Fs OEVSER/'MRK/PLANP.PP5/LOTLINF.ADJAPPFOFW REV 2/1/99 - <br /> -4... . <br /> { <br /> � �I <br />