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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 /> 1, the 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 Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am(check one): <br /> O Legal property owner(owner includes partner, trustee, trustor, or corporate officer)of the property(s)involved in this <br /> application, or <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 /> Print Name: (�Ve r0.f cl 0Q 0.rYo ti Signature: vt'��. CGr, �jr'J_%C-ec, Date: 6 <br /> Print Name: (a t a _ ,E��(I V- 1 0 1 Signature: ��i'Q,�,>�. �ex-77-V9� Date: <br /> Print Name: ::16 a Q V 1 Yl 1p gQ Z O Signature: JL, Date: / 0 0 <br /> Print Name: �� �Tr�� Signatur . Date: <br /> Print Name: Signature: Date: <br /> 1'41 PMPA LA98 FeW ary 1.1999 <br /> -4- <br />