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v T' APPLICATION - LOT LINE ADJUSTMENT <br /> 'c. :z:. <br /> } SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. I <br /> I. the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the Owner/Agent's project. I <br />� 9 <br /> I i, 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) € <br /> involved in this application, or I <br /> 17 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 /> [APN 204-040-07 and 204-050-07,c in Beryfte Vineyards, LLC <br /> Print Name: y Signature: Date: <br /> Si <br /> Print Nan! nature: Date:g <br /> APN 204-040-09,Frank Indeficato,Anthony Indelicato and Vincent Indelicato <br /> i Print Name: Frank Indelicato Signature: Date: <br /> i <br /> Print Name: Anthony Indelicato Signature: Date: <br /> Print Name: Vincent Indelicato Signature: Date: <br /> APN 204-050-08 and Portion of 204-05"9,Delicato Vineyards <br /> Print Name: ��0e&e ,�S Signature: Date: <br /> Print Name: Signature: Date; <br /> a <br /> i <br /> F DEVSMPlanning Application Forms\ Page 3 of 3 Job No 2011-111 Lot Line Adjustment.doc <br /> Lott Line Adjustment.doc.(Revised 6-4-04) <br />