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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> i <br /> ONLY THE OWNER OF THEPROPFRTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1,the OwnerlAgent agree,to defend,Indemnlfjr,and hold h�mless 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 ipnq): <br /> f <br /> Legal properly owner(owner lndydes partner,trustee,trustor,or corporate officer)of the property(s)Involved in this <br /> application,or <br /> j 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 th?lr behalf.,and that the foregoing application statements are true and correct. <br /> � u <br /> Print Name:�D£-' Y1!/'I/�t°V4SD)'1 !' Signature: Date: - 2 d <br /> Print Name: fin V Q ,L, fSignature: /r s:a�-fes I Date: <br /> Print Name: W oUcL Signature: �� �{�,�it��C/� I� ! Gv2dJ1207� Date: -O <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> E <br /> r <br /> f <br /> s <br /> j <br /> s <br /> i <br /> t <br /> f <br /> 1:41 PUPA-tA 16 F*Gu"1.1M <br /> -4- <br />