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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 Owner/Agent 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 /> I,further, certify under penalty of perjury that l am(check one): <br /> XLegal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)Involved In.this <br /> 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 the foregoing application statements are true and correct. <br /> Print Name: /f, tiy. Signature: - Date: <br /> Print Name: ; �l 1� �, J NSI�� !! Signature: Date: 2 <br /> Print Name: �-� W 0.W 1'' E ' f UC�I Signature: Date: U� <br /> Print.Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I <br /> .i <br /> 1 <br /> I <br /> 1Y4 PMPA LA9E February 1,5999 <br /> i <br />