Laserfiche WebLink
LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> h AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION, <br /> I, the OwnerlAgent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim,action <br /> or proceeding against the Owner/Agents project <br /> I,further, certify under penalty of perjury that I am(check one): <br /> Legal property 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 been authorized to file on their behalf„and that the foregoing application statements are true and correct <br /> Print Name: 151 etp" e6rd( _ Signature: Date: <br /> Print Name: G n i Ce 0 1 O rn 131 f)! Signature: G7lu CRJ Date: f a- b aDUU <br /> Print Name: W , - Signature: �f Date: l <br /> Print Name: (���]P11`!Yl f Signature: Date: /1- 7-„�SAD <br /> Print Name: Signature: Date: <br /> o <br /> t <br /> I <br /> 1:41 PMPA LA9E rebmarp 1,1999 <br /> -4- <br />