Laserfiche WebLink
x <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> ". SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT ## <br /> {✓� ;�• FILE NUMBER: <br /> ONLY T IE OWNi=R C} ,THE ROPE TSf flR, 4 ! i T' 1C R l ►GEN1 ,M!#Y' lLl AN i�iPPL1CATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> 'I <br /> ® Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or l <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Carl Bart Navarra and Annamae Frances Navarra,as Trustees of the Carl and Annamae Navarra Trust as Amended and <br /> restated 2010, 12% interest <br /> Print Name: Carl B.Navarra Trustee Signature: GUe ,fes Date: <br /> Print Name: Annamae F. Navarra,Trustee Signature: Date: <br /> Carl M.Navarra, as Trustee of the Navarra Living Trust, Dated Dece 9,200 / interest <br /> Print Name: Carl M. Navarra Trustee Signature: Date: 4 <br /> Print Name: Signature, Date: <br /> Print Name: Signatur Date: <br /> I <br /> F:`DEVSVC\PIanning Application FormM Page 3 of 3 Job No 2011-38 Lot Line Adjustment.doo <br /> Lot Line Adjustment.dao.(Revised 6-4-04) <br />