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LOT LINE ADJUSTMENT <br /> SAN JOA 1J1N COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTNORI�'A170N 1GNATURES <br /> QMLY THE'OWNER OF TILE PROPER rO N A TN 1Z&D GE T M Y EAN APPLICAT ON <br /> FtheOWnerlAgent agree, to defend,Indemnify,and hold harmless the County and Its agents,officers andemployee7anyclaim,gainst the OwnerlAgenrs 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 <br /> this 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 faregoing ppllcation statements are true and correct. <br /> Print Name: Signature: <br /> Date: 3�Zlo� <br /> Print Name: �U. C-- �• Signature: <br /> Date: 2l d 4- <br /> Print Name: L E if Signature: 0 Z`yC0� <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature; <br /> Date: <br /> s <br /> c <br /> k'!DEVSER/IDARKYPLANAPPSILOTLINEADJAPPFOM REV 2/1/99 - _9_ <br /> II <br /> I <br /> I <br /> I <br />