Laserfiche WebLink
. I <br /> r <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQil1N COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AMORMAnONSIGNATURES <br /> ONLY THE:OWNERAF THE PRCpERn OR A-N AUTHOR11Er D AGENt MAY FILE AN APPLICATION. <br /> fo,rprMoceeding <br /> he O 'Or' ent agree,to defend lndemniy, <br /> g 9 + , ,and hold h less the County and Its agenh=ofRcers and employees from any claim,action <br /> against the Owner/Agent's project 11 <br /> 1, further certify under penalty of perfury that I am(check ne): <br /> Legal properly owner(owner Incudes partner,trustee,trustor,or corporate officer)of the property(s)Involved In this <br /> application,or i Y <br /> O Legal agent(attach proof of the f ar'a consent to the application Of the property's Involved in this application and <br /> have been authorized to 111a onfh�1r behaN.,and that the foregoing application statements ars true and correct <br /> �E <br /> Print Name; 'II2)4LG Signature: .uy-- Date: �O-[�t7'G <br /> Print Name: :; Signature. Date: _ <br /> Print Name: Signature: Date; <br /> Print Nama: Signature: Date: <br /> Print Name: Signature: Date; <br /> I <br /> I <br /> I <br /> F <br /> t <br /> r <br /> r <br /> i <br /> f <br /> I <br /> ti <br /> 4 <br /> n <br /> f <br /> JI ' <br /> 1:0 PUPA LA9a FeCWvpy 1,1999 ., <br /> -4- <br />