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. I <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> f� N AUTHORIZATION SIGNATURES <br /> I, I <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1,the owner/Agent agree,to defend,fndemnlfy.and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project. IM <br /> IM <br /> 1,further, certify under penalty of perjtuy that I am(check one): <br /> O Legal property owner(owner Includes partner,trustee,trustor,or corporafe Weer)of the properly(s)Involved In this <br /> applica ion,or <br /> t <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 foregoing application statements are true and correct. <br /> I� <br /> Print Name: d�?u r_� N. A? � Signature: c��- �fi !�: ;t r Date:fl�7 l9r <br /> II <br /> Print Name: Signature: Date: <br /> Print Name: E Signature: Date: <br /> n <br /> Print Name: IR Signature: Data: <br /> Print Name: Il Signature: Date: <br /> I� <br /> .f <br /> I' <br /> !f <br /> f <br /> I I <br /> 'E <br /> .I <br /> I� <br /> :F <br /> i <br /> I <br /> r <br /> I <br /> ;I <br /> I <br /> I <br /> I <br /> 10 ;' <br /> } <br /> 6 <br /> u <br /> ij <br /> 1:41 PUPA lA98 Febmry 1.1M <br /> -4 I <br /> i <br /> I�I <br />