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• 1 <br /> � APPLICATION - LOT LINE ADJUSTMENT <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. <br /> the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> ' <br /> I <br /> employees from any claim, action or proceeding against the Owner/Agents project. <br /> it <br /> further,„ further, certify under penalty of perjury that I am (check one): <br /> it Z Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> i involved in -his application, or <br /> Legal a ent attach roof of the owner's consent to the application of the property's g g ( p pp p p sty'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 /> h <br /> I <br /> :-...1.M. <br /> Vineyards, LC <br /> i <br /> =-r.-,Name Ron McManis Signature. Da e: <br /> ;vertree, FTP <br /> --.n?Name: 'L•s4pac `l. ,9%ka..n,.n Signature: Date: " <br /> =-n: Name: `i�— Signature: Date: <br /> i <br /> @ 2arton Family Limited Partnership j <br /> ---Name. CT — t`il . I SignatureDate: <br /> -nc Name: Signature: Date <br /> i <br /> vSVC�Piarring Application-orms\ Page 3 of 3 „cb �o 20:7-262 L A.6cc <br /> _2._na A-, stmentcoo (Revisec 6-4-04) <br />