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r _ <br /> r: <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES ` <br /> 7�D <br /> rONLY THE OWNER.OF THE PROPERTY OR AN AUTHORIZED"AGENT MAY FILE AN APPLICATION.. <br /> Angree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> t the Owner/Agents project. <br /> der penalty of perjury that 1 am(check one): <br /> y Legal property owner(owner includes partner,trustee,trustor,or corporate oficer)of the property(s)Involved In this <br /> " application,or Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application and i <br /> have been authorized to rile on their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: �' r" ` v r Signature: Date: <br /> tiLDate: o` "v <br /> Print Name: Signature. <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> r <br /> F . <br /> 4 <br /> P <br /> 1�r <br /> I <br /> f <br /> i <br /> 1:41 PMP&.A9S Febmaq 1,1999 <br /> -Q" <br /> II <br /> I <br />