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LOT LINE ADJUSTMENT <br /> r A A IN NTY MMU ITY DEVELOPMENT DEPARTMENT <br /> Y p <br /> 7Name: � <br /> ROEOTY OR AN AVTHoRtZUQ GENT MAX FILE AN A <br /> gent agree,to defend,Indemnify,and hold harmless the County and Its agents, officers and employees from any claim, act on orainst the Owner/Agent's project. e property.. <br /> ify under penalty orperjury that I am(check one):Legal property owner(owner Includes partner, trustee, grantor,or corporate officer)of the proporfy(s)Involved Inthis application,orO Legs/agent(attach proof or the owner's consent to the appll�tion o/fl�cetlon statements argiinvolved e propOHY's Involved l true/end conectn andhave been authorized to Me on their behalf.,and that the fore oingapp�aM/g7HAn/ �Trf,�R-Y Signature: Date: �I��1-�3 <br /> Signature: Date: <br /> Signature: Date: <br /> Print Name: <br /> Signature: Date: <br /> Print Name: <br /> Signature: Date: <br /> Print Name: <br /> ]i0[V]LN/IN.RX/YVJiMN]/IATLIMLWIA]N]OM NLY]/1/99 �d <br />