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LOT LINE ADJUSTMENT <br /> SAN JOA UIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> A THORIZATI NSIGNATURES <br /> ONLYTHE WNE F E R PE TY ORAN A TH RIZEO AGENT MAY FILE AN APPLICATIQN. <br /> I, the Owner/Agent 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 /> I, further, certify under penalty of perjury that I am(check one): <br /> xLegal 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 file on their behalf.,and that the to going application statements are true and correct. <br /> Print Name: E.Vy 'v( Signature: Date: /4- 3Q 3 <br /> Print Name: f�Ti}LE�/J /�>E�G Signature: Date: <br /> Print Name: �� �� �� �/ -- Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />