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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZED SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION <br /> I,the OwnevAgent agree,to defend,indemnity,and hold harmless the County and its agents,officers and employees.from any claim.action <br /> or proceeding against the OwnenAgent's project. <br /> I.further,certify under penalty o1 perjury that I am(check one): <br /> X Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)involved In this <br /> application,or <br /> Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have <br /> been authorized to file on their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: STgMj,E,1 A ( 9 <br /> l�O i3ERf Si�l�Signature: -tt_r• Q - -f— Date: <br /> V <br /> Print Name: BIT e (� 800 R(qrS-Of1( - Signature: Date: <br /> Print Name: Gc�e�(d RU 6,ylys Signature: <br /> Date: <br /> Print Name: \J ut)y k -� Signature IE:. C�1,� �_ Date: <br /> Print Name; L'L/ FFc R D -,/rc•T:rtT"er„ Signature: Date: <br /> S" n <br /> Print Name: LOL1u LLA M f�C3CLTi`.i+'I Signature: inn ,.///1 �� tj <br /> Oo UPJ tll f�et�" nJ Date: <br />