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i <br /> i <br /> LOT LINE ADJUSTMENT i <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZ4710N SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAYFILE 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,acfon <br /> or proceeding against the Owner/Agent's project <br /> I,further, certify under penalty of perjury that I am(check one). <br /> 'g Legal 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 aid <br /> have been authorized to rite on their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: �j 2!5 4!2T y Signature: --e •J c� Dater <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> M <br /> i <br /> 4 <br /> 1 V 1 PMPA_L194FebNaay 1,1999 <br /> 1 <br />