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I <br /> LOT LINE ADJUSTMENT <br /> -- �. ---_---- SANJ(7IIgtllNCC1UMryCOMMUNITYUL�VL�I.OPMENTDpPARTIHENJ <br /> --,-----_.__._,_,_._..._ /It111f017t211t1UNSlGN11rUlIES • <br /> r_of1 ANA0 11 Ul1!).rU/lGFNT MArF1LAAN Ai'l'tlCAlrlON. <br /> 1,the Uwrrer/Agrnf agrrn, (a dr-rrr,r{ lrwrnrnlfy, and!role!lrarnlless file County a <br /> orpracr0ding Tgair,s(flra OwneIlAgerit's project. <br /> lid 1f5 nertfs <br /> g ,o/Acus and employees from any clalrrr,acflorf <br /> !,further, cerilry u►rder erralf ly. <br /> P y'orperjury that l am(clrech one); , <br /> w <br /> LrgaI� elf y <br /> o"wier(owner incicrdespr� er,applic"(1011or frusfor,orcorporefeorcer) <br /> Legal1of tAe ro eriy <br /> (sl Involved In N <br /> 0acr <br /> fit o/the owrrrr's eansertf fa thea Ilea <br /> have been authorized to Ale ort their behalr.,and(ha((Ile foregoing a llcaflvn statements are true an <br /> PP (ion of the Property's lnvolved In flrls appllca(lorr am <br /> 8 J PP <br /> .. d correct. � <br /> f <br /> Plitt(Name: <br /> Signature: <� .s... c �_ <br /> Ptlrrf Mime: ;� �` Date: -7 y <br /> - — Signature: <br /> Print Nartre; " bate: <br /> Slgnafure: k <br /> Print"NantC: ' Data: 1 <br /> 'i Signature; <br /> Prin(Name: °i Data: <br /> .kk Signature: <br /> iI Date: <br /> II <br /> II <br /> it <br /> f� <br /> .i <br /> I! <br /> .F <br /> 1 <br /> II r <br /> I' <br /> Ir <br /> d I <br /> T. - <br /> 'I AT <br /> 'j r <br /> I� �k <br /> �I ti <br /> I� <br /> I� 7 <br /> i1:41 PIAPq_u9e rebruery 1,1999 <br /> � a <br /> " I <br /> i <br /> I <br />