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oPV N <br /> Q <br /> APPLICATION - LOT LINE ADJUSTMENT <br /> Q. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> ,9LiFp�NP <br /> AUTHORIZATION SIGNATURES <br /> rgree, <br /> WNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> gent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> m any claim, action or proceeding against the Owner/Agent's project. <br /> fy under penalty of perjury that I am (check one): <br /> erty owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Cynthia R.Alfieri, Trustee of the Cynthia R.Alfieri UAD June 3h 1998 ; <br /> Print Name: Cynthia R. Alfieri Trustee Sign r / C <br /> Date: � <br /> Print Name: Sign; e: <br /> ��� � Date: <br /> Print Name: Signature: <br /> Date: <br /> FIDEVSM101anning Application Forms\ Page 3 of 3 <br /> Lot Line Adjustment.doc.(Revised 6-4-04) Job No 2013-171 LLA <br />