Laserfiche WebLink
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 /> I, fire 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 OwnerlAgent's project. <br /> I, further, certify under penalty of perjury that I am(check one): <br /> 0 Legal property owner(owner Includes partner, trustee, trustor,or corporate officer)of Ilia proporty(s)Involved in tills <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 /> A have been authorized to/file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: AWI—e Ser��� Signature: Date: OZ-07-G/ <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> 'iu:: <br /> i." <br /> i;. <br /> 1:41 PMPA 10k99 Febu 1.1999 <br /> -4- <br />