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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AZ/.7NORIZATYCiN SlC3tY4TU1#E3,:. <br /> 4' <br /> ONLY7H C4VNER.CiIs Pf?CiP�RCY+G11��0.N,4IITNORIX DAGL�N!`M14Y 1EAO LlC+g7j <br /> 1,the OwnWAgent agree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action or <br /> proceeding against the Owner/Agent's project, <br /> 1,further, certify under penalty of perjury that I am(check ane): <br /> beneficiary under deed of trust <br /> Legal property.owner(owner Includes partner,trustee,trustor,or corporate otl9car)of the property(s)involved in this <br /> application,or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's invohred In this application and have <br /> been authorized to tiie on theft behalf.,and that the foregoing application statements are true and correct <br /> Print Name: CAROLYN CORDES Signature: Date. <br /> Print Name; JAC iTELYN CORDES Signature: !Date: <br /> Print Name: DAVID CORDES Signature: Date.J-1-01 <br /> ' Print Name; _ R_ayid .CQrliss VP, for Signature: <br /> Date: 3 <br /> PrWI Nathe: Crossroads Business Center 1,_p. Date. <br /> y <br /> i <br /> I <br /> i <br /> f <br /> 10:07 AMPkUW&F.hnwy 1,4889 <br />