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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the Owner/Agent agree, to defend, indemnify,and hold harmless the County and its agents, officers and employees from any claim, action <br /> or proceeding against the Owner/Agent's project. <br /> 1, further, certify <br /> \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)involved in this <br /> 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 /> 03.15--10 <br /> Print Name: rl�y2 //8�� L Jl -�iUC�Signature: Date: S o�f� 7c7 <br /> Print Name: <br /> � iSignature: �� Date: <br /> Irz- Date: '—�n3t <br /> oP nt �mV / S� lOATnSignat K <br /> Print Name: -- ��- Signature: Date: �l <br /> Print Name:.--- Signature: Date: <br /> 1.11 PMPA_l 9a Febm.ry 1.1999 <br />