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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZED SIGNATURES <br /> a ONLY,THEOINNER:;OF'THE PROPERTY OR AN.AUTHORIZED AGENT MAY,FILE AN APPLICA770N <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 /> X Legal property owner(owner includes partner, trustee, trustor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have <br /> been authorized to file on their behalf.,and that the foregoing application statements are true and correct <br /> Nti <br /> Print Name: �6,b e,T 47 kl. I S).CX"ignat�re: � Date: S r a <br /> n �x( v <br /> Print Name: X11 �� SignatuOL.r�� Date: S C . <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />