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V <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLYTHE WNER FT EPR PERTy RAN AUTHORIZED AENT MAY FILE AN APPLI ATI N. <br /> 1, the Owner/Agent 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 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 /> the owner's <br /> to the application of the property's Involved <br /> O Legal <br /> been authorized ed to fileontheir behalf.,and that l ) <br /> ication <br /> that the foregoing application statements aretrue and correct. <br /> Print <br /> have and <br /> Print Name: Y f` L �/h L-1Signature: ' " 1 i Date: <br /> Print Name: <br /> Signature: Date: <br /> Print Name: <br /> Signature: Date: <br /> Print Name: <br /> Signature: Date: <br /> Print Name: <br /> Signature: Date: <br /> P,DMERn WPR/PV PP9/�LINGDJ `P -PEV 3/1/99 -4 <br />