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r r � <br /> LOT LINE ADJUSTMENT' <br /> r SAN JOA UIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SfGNATU ES <br /> ONLY THE OWNER OF THE PROPE RTY ORAN AUTHORIZED AGEAFTMAYFILE AN APPU ATION <br /> 1,the OwnerlAgent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim,action or <br /> proceeding against the Owner/Agent's project. <br /> 1,further, certify under penalty of perjury that f am(check ane): <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 Me on their behalf.,and that the foregoing application statements are true and correct. <br /> PrintName:� an P---T �n �nC-�f Signature: ch .0X y1 00-44 Date: g ' <br /> Print Name: Signature: Date: <br /> Print Name: Signature: pate: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> E <br /> F:Pcb'S[0.1IF.tiRrt/PLANdPP51'.ATLINFAGS0.PP!'OPH PC%1!1!99 -A- <br />