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LOT LINE ADJUSTMENT <br /> ' SAN JOAQUIN COUNTY COMMUNI rY DEVELOPMI~NT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I,the Owner/Agent agree, to defend,Indemnlfy,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(hat I am(check one): <br /> td Legal property owner(owner Includes partner,trustee,trustor,or corporate oRl of a property(s)Involved In this <br /> application,or ` <br /> O Legal agent(attach proof of the owner's consent to the application of the p OH s Involved In this application and <br /> have been authorized to file on their behalf.,and that the foregoing applicatlo Cements are true and correct. <br /> ; <br /> Print Name. _ U --- �, Date:J � Ad�- signature: it <br /> Print Name: 714 NV L EX A N b F Signature Date: - 2.t1-0( <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> C41 1 PMPA_LADO February},1 M <br /> -4- <br />