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F Y e <br /> " v 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 OwnerlAgent 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 under penalty of perjury that 1 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 /> r <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 /> Print Name: I Signature: �l ,• <br /> Print Name: <br />} Signature: Data: <br /> a <br /> Print Name: Signature: Date: <br /> Print Name: Signature: _ Date: �— <br /> Print Name: Signature: Date: <br /> E <br /> { <br /> l <br /> i <br /> I <br /> I <br /> 1:41 PMPkLAAO Febmry 1.1M <br /> -4- <br />