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LOT LINE ADJUSTMENT <br /> SAN JQAQWN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZA770M SIGNATURES <br /> ONLY THE OWWER OF THE PROPERTY OR AN AUMORMW AGENT MAYnLE 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 /> 1,further, certify under penalty of perjury that 1 am(check one): <br /> Lega!property owner(owner includes partner,trustee,lnrstor,or corporate officer)of the property(s)inwivved in this <br /> application,or <br /> 0 Legal agent(attach proof of the owner's consent to the application of the property's Involved In this appicatian and <br /> have been authorized to file on their behalf.,and that the foregoing application statements are true and cwnct. <br /> Print Name: "�a t�Ot l 13 it. Yr,n,dti �5 r. Signature. Date: :5.-ItZ99 <br /> Print Name: 5 -or,_ftU4-k Signature: vkatP,161,� — Date: —i I—S <br /> Print Name: Signature: Date: <br /> Print Name: Signature.- Date. <br /> Print Name: Signature: Date: <br /> t <br /> i <br /> { <br /> t <br /> - 3 <br /> s <br /> ti <br /> 7 <br /> i <br /> 5 <br /> 1.41 PWA,U 98 Feo..ry 1.1999 <br /> I <br /> i� <br /> I <br />