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LOT LINE ADJUSTMENT <br /> SAN JOA UIN COUNTYCOMMUN/TYDEVELOPMENTDEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the Owner/Agent agree, to defend, indemnity,and hold harmless the County and its agents,officers and employees from any claim,action or <br /> proceeding against the OwneNAgent's project. - <br /> I,further, certify under penalty of perjury that I am(check one): <br /> O Legal property owner(owner includes partner, trustee, grantor, or cporate officer)of the property(s)involved In <br /> this application, or 1 ." <br /> O Legal agent(attach proof of the owner's consent to the applicaf n of the property's involved in this application and <br /> have been authorized to file on their behalf.,and that the foreg ng application statements are true at. <br /> X 4and correct <br /> PrintName: fE_14*J �... DX1122C _ Signature: Date.me�. <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> P,DPV9LR IS K/PL PPS/U 41HG 3"PMM R!V 3/3/., �4 <br />