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APPLICATION - LOT LINE ADJUSTIVIE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMQE�iT =E-- --t - - <br /> FILE NUMBS=. <br /> AUTHORIZATION SIGNATURES <br /> 3NLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATIO',- _ <br /> -__ JwnerlAgent agree, to defend, indemnify, and hold harmless the :,oun_�, =-ems, office:-s <br /> ogees from any claim, action, or proceeding against the OwnehAgent's projec- <br /> u e , certify under penalty of perjury that i am (check one): <br /> -egai property owner(owner includes partner, trustee, trustor, or corporate off iceF: <br /> volved in this application, or <br /> _egal agent (attach proof of the owner's consent to the application of the property's i,,vo;beo it this <br /> appilcation and have been authorized to file on their behalf.. and that the foregoing apviica0cr statemzL <br /> S':'ue and correct. <br /> +are t Doiezal and Lela M.Doleaai,Trustees of the Richard P.90iezal Family Trust, UTA Date <br /> Richard P.Dolezal.Truskes Signature: - <br /> eta M. Dolezal.Trustee Signature: - - -- -.- -- -- - -- <br /> Signature: <br /> Signature: <br /> ,_-- Signature: <br /> >-- <br />