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2 <br /> � I <br /> r <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT'DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> — II <br /> ONLY THE O WNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. i <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, cerlifyiunder penalty of perjury that I am(check one): <br /> Legal property owner(owner lneludos partner, trustoo, trustor, or corporate ofAcor)of the property(s)Involved In this <br /> appllcallon,or <br /> !! O Legal agent(attach proof of the owners consent to the application of the property's involved In tills application and <br /> ii have been authorized to Ale on their behalf.,and that the foregoing application statements are true and correct. <br /> i� <br /> Print Name: Signature: Date: <br /> Print Name: /YO v K `L Signature: d Dale' <br /> Print Name: C` Signature: Date: <br /> Print Name: I` Signature: Date' <br /> Print Name: VSignature: Date: <br /> ip <br /> �I <br /> ;I <br /> I <br /> IiI t <br /> I� W Jk <br /> Y <br /> I. <br /> p <br /> j <br /> Ik <br /> 1;41 PMPA LA0>IFebN>try M090 _q <br /> I <br />