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xt a. <br /> 3 LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ;A UTHORIZED.SIGNATURES <br /> I, the Owner/Agent agree, to de eLY 7TiE.OWNER OF THE PRQPER7Y OR Alil AU7Tit7ROEV AGENT <br /> ON <br /> MAY.'.'ILEANAEpl r-47TON <br /> f nd,indemnify,and hold harmless the County and its agents,Officers ffcers and employees,from any claim,action <br /> Or.proceeding against the Owner/Agent's project. <br /> . i <br /> ►,further,certify under penalty of perjury that 1 am(check one): <br /> u ! <br /> X Legql property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> Legal agent(attach'proof of the owner's consent to the application of the property's involved in this application and have <br /> „ been authorized to file on their behalf-,and that the foregoing application statements are true and correct <br /> :I <br /> ii <br /> Print Name: J��cU �IZ R s Signature- <br /> Date: /1 J 03 <br /> Print Name: %� '� *< Signature� <br /> Date: 03 <br /> Print Name: it Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: <br /> Signature: <br /> Date: <br /> I <br /> i <br /> t <br /> 4 <br /> ' t <br /> t <br /> q :I <br /> q i <br /> I <br /> t <br /> i <br /> 1 <br /> i <br /> � t <br /> i <br /> 4' <br /> i <br /> li <br /> !� Id <br />