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oPgUlry <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> "0 SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> doA FILE NUMBER: <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <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 County arising from the Owner/Agent's project. <br /> 1 , further, certify under penalty of perjury that I am (check one): <br /> ❑ Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application , or <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 /> Print Name: /v/8// C-' /� � F+ilj � Signature: '� y <br /> Date: /Z L <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> F:IDEVSMPlanning Application Formsl Page 5 of 7 <br /> Lot Lina Adjustment.doc. (Revised 05-11-09) <br />