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w <br /> (4 "-', LOT LINE ADJUSTMENT <br /> T. SAN JOAQUIN COUNTY COMM UNITYDEVELOPMENT DEPARTMENT <br /> � Ks , °� ` 'Afli'fIOFN�aT1O1v 8ic>gNJi�il1?L�; - <br /> f <br /> . ClNLY,?�!�'�W1YL�F1'OF7ii�`P17O4R%WII(1]7Yb171,Z�AIrs�Nf'.MAY.I=IJ.LTAHAIpAl:1CJ{TJbN, ;' <br /> 1 the OwnenAgent agme,to defend,indemnity,and hold harmless the County and Its agents,officers and employees firm any claim,action or <br /> proceeding against the Owner/Agent's projeet <br /> 1,AFA* r, cardfy under penny of pequry that I am(check one): <br /> Legal property owner(owner Includes partner,trustee,trustor,or corporate 00001)of the property(s)involved in this <br /> application,or <br /> ' O Legal agent(attach proof of the owner's consentto the appllcatlon of the property's Involved In this application and have <br /> been authorized to file on their behaK.,and that the foregoing application statements are true and correct <br /> a __. 50.+.x• es <br /> 446 <br /> f me: <br /> Print Na <br /> E Signature: Date: <br /> r Print Name: <br /> Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: <br /> Date: a <br /> I <br /> i <br /> I <br /> I€ <br /> I <br />} <br /> y1 t <br /> . x _. m��.a!•i+an.i_r+m_.: �AS^�rJrenw.._—m-a _ _ _.—�.�/r%t.. ..,+er�w. <br /> IM AMPkLM Fi6my 1.7690 <br /> -4- <br /> i <br /> E <br />