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` LOT,LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> i <br /> AUTHORIZATION SIGNATURES ti <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1,the Owner/Agent agree,to defend lndemnify,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 I 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: / l o r� � - Signature: _ Date:r' <br /> Print Name: 1 �, J // ►� Signature: Date: <br /> [1 CL�.J + irk 1 tJ <br /> Print Name: Signature:nature: `� Date:rz U� <br /> Print Name: Signature: Date: <br /> Print Name. Signature: Date.- <br /> 1:41 <br /> ate:1:41 PH1PA LADE Febmery 1,1999 <br />