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r LOT LINE ADJUSTMENT <br /> SAN JOADl11N COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT'MAY FILE AN APPLICATION <br /> t,the 0"orlAgent agree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees!horn any c1811n,action <br /> orpmeeeding against the owneWAgeaft project. <br /> 1,Anther, certify under penalty of perjury that t am(check one): <br /> O Legal property owner(owner Includes partner,trustee,trustor,or corporate of0cer)of the propen?y(sJ Involved in this <br /> appliealfon,or <br /> O Legal agent(attach proof of the owners consent to the appficallon of the property's Involved in this application and <br /> have been authort:ed to file on their behalf.,and that the foregoing appficatlon statements are true and correct <br /> Signature: Date: <br /> Print Pismo: S 2 (Y� r <br /> r Date: <br /> Print Name: Signature: <br /> Print Name: <br /> Signature: Date: <br /> Signature: Date: <br /> Print Name: <br /> Print Name: <br /> Signature: Date: <br /> 1:41 PW !1W FebrMy 1.19" <br /> -4- <br />