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I <br /> LOT LINE ADJUSTMENT <br /> SA <br /> N JOA UIN CQUNTY COMMUNITY DEV5LOPMENT DEPARTMEN '_' <br /> AVVJZA N i N RE <br /> F rV OR AN AUTH^017CnA f° i- <br /> 1,the OwnerlAgent agree,to defend,lndemnlfy,and hold harmless the County and Its agents,officers and employees from any claim,action or 'i.. <br /> proceeding against the OwnerlAgent's project. <br /> i <br /> 1, further, certify under penalty of perjury that I am(check one): <br /> O Legal property owner(owner Includes partner,trustee,grantor,or corporate officer)of the property(s)Involved In <br /> this application,or <br /> h <br /> O Legal agent(attach proof of the owner's consent to the application of the propertyproperty'sinvolved In this application and ' <br /> !: <br /> have been authorized to file on their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: Wendell Reed Signature: 1 '' ` / Date: 1/20/04 <br /> , <br /> Print Name: Signature: Date: <br /> ti <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> E <br /> I <br /> 1 .. <br /> ,l <br /> tl <br /> i� <br /> ' FIDEVSERJIP"IC/PLNIAPPSIL&rLINEADJAPPMFL4 REV 711199 -4- <br /> w <br /> l <br /> r <br />