Laserfiche WebLink
LC L:1NF.ADJUSTMENT <br /> SANJOAQtIWCOtMrYCAYWtAWrYDLVELOP�f HTDEPARWWir <br /> 1101111,15 11a <br /> t ..* f <br /> r' <br /> Me avmeAW9 ate,to dWbr4 lndmigy,and hold hanmlots me Comity and As sywrtk olflcars and employe"from any elalm action or <br /> procood<rp a tha Ownar/Aparrt's pmJed <br /> �,ttuthw, �Yu►�►'Pa+��P�Y that!am(clrvck one); <br /> t,pal property owner(owner kwftWss partrrar,trmv%trustor,or corporate onloar)of tho prop-onXs)k"lved In this <br /> appy or <br /> Q Logs! (attach pmol of the om ers consent to the appolcadon of the propwtyh kmaNed In thh sppllcsdon and have <br /> bean sut mkod to tAe an Mee bahslt;,and that Ne Aw"vkW appOcaftn shOwnw9a are true and correct <br /> Tt <br /> Print Alamo: ©�LQ r -5 _1 signature: Date: <br /> Prim Name: signatura: Date: <br /> Piint Name: signature. Data: <br /> Print Hama: S1Qtratul+a: Hata: <br /> Print Hama: signature: Data: <br /> f I <br /> I , <br /> I <br /> i <br /> 7 <br /> -4- <br />