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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, offi <br /> or proceeding against the Owner/Agent's project, cers and employees from any claim, action <br /> 1, further, certify under penalty of perjury that l am (check one): <br /> xLegal properly owner(owner includes partner, trustee, trustor, or corporate officer)of the property(s)involved in this <br /> application, or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's involved In this application and <br /> have boon authorized to file on their behalf., and that the foregoing application statements are true and correct. <br /> Print Name: 0E', Lem �r er Signature: c �Ua, <br /> Date: <br /> Print Name: <br /> Signature: Date. <br /> Print Name: 66"� ,K ` � <br /> Signature: <br /> — Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> 1:41 PMPA_LA96 FebNary 1,1999 <br /> -4- i <br /> 1 <br />