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f E <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> E <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION, <br /> f <br /> t, the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents, officers and employees from any claim,action <br /> ,i or proceeding against the OwneNAgent's project <br /> ,I I� <br /> t, further, certify under penalty of perjury that l am(check one): <br /> tl �� <br /> E <br /> E ! O 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 /> EPrint Name: o r 7a>I v r rfE T r Signatu e: Date: afro <br /> :Print Name: q,J Signature: =a Date: -� � .2a�-o <br /> €3 i� <br /> ;PrintName: 1i1 _� , Jo�¢ .r�n � Signature Date: 2 8 �� <br /> is <br /> Print Name., Signature: Date: <br /> it II <br /> Print Name: Signature: Date: <br /> rj <br /> .! <br /> .E <br /> E�i F <br /> 3 <br /> E�l <br /> t <br /> E� EI <br /> f ! <br /> I <br /> i <br /> i <br /> i � <br /> i� <br /> i <br /> i <br /> ,. <br /> Nl <br /> 1:41 PMPA_LA"$February 1.1888 <br /> 1 I� <br />