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s <br /> r _ <br /> LOT LINE ADJUSTMENT <br /> SAN JOA UIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AurimaArov SIGNA RES <br /> NLYTHEOWNEROFTHEPROPERTYOR ANAUTH RITEDAGENTMAYFILEAN 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 or <br /> I proceeding against the Owner/Agent's project. <br /> 1,further, certify under penalty of perjury that lam(check one): <br /> Legal property owner(owner includes partner,trustee,grantor,or corporate officer)of the property(s)involved in <br /> this application,or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's Involved in this application and <br /> have been authorized to role on their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: �Je�f Yom! 1f11�e_�c1 'f u Signature: Date: "-7 ` <br /> Print Name: KC'-'J VA-,_3L -T-ir"'If-C— Signature: Date: <br /> Print Mame: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> t <br /> h <br />