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ti + <br /> c <br /> 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 /> Legal property owner(owner Includes partner, trustee, trustor,or corporate officer)of the property(s)Involved In this <br /> appiication,or <br /> d 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 rile on their behalf.,and that the foregoing application statements are true and correct <br /> Print <br /> Name: Signature: 4L— Date: <br /> SLAIIJ SI nature: Date: <br /> Print Name: 9 <br /> Print Name: SEI L� Signature: ` Date: <br /> Print Name: �iV Ck �i`3� Signature: Date: 2 <br /> Print Name: - A G t-. <br /> Signature: � Date: <br /> I <br /> i <br />