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ALINE ADJUSTMENT <br /> ' UNJOAOUIN cOUNTYCOMNUNITY.DEVELOPMENT DEPARTMENT <br /> '�ti�filORfIJITf0�/V�iQNATt7RF� <br /> k <br /> `� GFfL'! 7DNd1 Ql T1ilEPR0 4TYiDR7W/1[f7FIdR►ZBpAtiarMAypuz'AN"APPLIIGf71OH. <br /> Owner/Agent agree,tp dvfQW, W,and hoid ha Mk"the County and Its agents,O flcws and em o <br /> P�eeding agalnat fire Owrwrlftw Cs project Pi !^ees from any claim,action or <br /> i,lurcher, cera*undar penalty ofpwft"that l am(chach me). <br /> 0 �or (ownw Wine+,trustee,trustor,or corporate Otffc&l of are Property(s)involved in this <br /> O Lege!agent(attach proof of the*"wt Consent to the applicadom of the Propartys involved In this application and have <br /> Mawr autlwrtted to Vie on chair bMW.,and that the 1br�agoi application statamerr�am true and correctPrint <br /> Print Name: PRIMO T. OROSCO w r� <br /> Signature: 1 Date: <br /> Print Name: ALICE OROSCO , <br /> Date� �IJf <br /> Print Name: MICHAEL J. OROSCO Signature: <br /> Signature: <br /> Data�J <br /> Print Name: Signature: <br /> Date: _ <br /> Print Name: Signature: <br /> Date: <br /> r <br /> r <br />[ <br /> I <br /> I <br /> i <br /> fs <br /> k <br />�f <br /> I <br /> i <br /> 1 <br /> 10=AMP*,M4$rowr,1.1on <br /> i <br /> M <br />