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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORMATinm SIGNATURES <br /> ONLY THE OWNER Op THE PROPERTY.OR AN AUTHORIZED AGENT MAY FILE 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 I am(check one): <br /> O Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)involved in this <br /> k 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 file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: 2Q Yl . <br /> Signature: Date: <br /> Print Name: <br /> Signature: Date: <br /> Print Name: <br /> Signature:. Date: <br /> Print Name: <br /> Signature: Date: <br /> Pint Name: Signature: Date: <br /> M <br /> I <br />