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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF 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 /> 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 <br /> have been authorized to We on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: f36` ) � ��l � Signature: //.� �l� Date: �� / <br /> Print Name: -�/^�Z ��� Signature: c= � �,`e� �' <<– Date: -J <br /> Print Name: :���� l/�jL' �L%l'r;%�7v Signature: '' —T �_ Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> 1:41 PMPA_LA98 Febuary 1.1999 <br /> -4- <br />