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T y,'R., <br /> : - - <br /> 4 <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUIIICRfZATIONSIGNArunEs <br /> ONLY THE OWNER or ME PnOPFnrY OR AN AUTHORIM)AGENT MAYrILE AN APPLICATION. <br /> 1,file Owner/Agent agree, to defend,Indentnify,and hold harmless(he County and Its agents,officers and employees from any clahu,action <br /> or proceedfrrg against lite Owner/Agent's project. <br /> 1,ru►tlrer, certify under peuaify of perjury(/Pat I at (check ane): <br /> 0 Legal property owner(owner Includes partner, trustee, trustor,or corporate officer}of the proper Involved in fit <br /> application,or <br /> Q Legal agent(attach proof or the owner's consent to file application of the property's Involved In this application anc <br /> have been authorized to file an their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: Signature: h <br /> Date: d 61 <br /> Print Name: Signature: <br /> Date: <br /> Print Nam(?: Civ I=�t+ <br /> Date., <br /> Print Name: Signature: <br /> Data: <br /> Print Name: Signature: <br />{ Date: <br /> i <br /> i <br /> i <br /> i <br /> i <br /> j I <br /> i <br /> a <br />, <br /> i <br /> , <br /> I <br /> ,I <br /> i <br /> i <br /> 3 <br /> 1 Al PMPA lA98 Fehmory 1.1999 - <br /> _4- <br />