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. t <br /> i <br /> LOT LINE ADJUSTMENT <br /> 3AN JOA UIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ALUT ORIZA TION SIGNATURES <br /> ON YT E OWNER&TMEF OFERl"YORANAfJTNOItIZED',4GE MAYFLEAN I1PPLlCATI N. <br /> 1,the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim,action or <br /> proceeding against the Owner/Agent's project <br /> 1,further, certify under penalty of perjury that I am(check one): <br /> O Legal property owner(owner includes partner, trustee,grantor,or corporate officer)of the property(s)involved in <br /> this application, or <br /> O Legal agent(attach proof of the owners consent to the application of the property's involved in this application and <br /> have been authorized to rile on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: __..Brent Newport Signature: � <br /> Date: <br /> Print Name: Christy Newport Signature: p���(}—�'}j <br /> Date; <br /> Print Name: Zaba��os Propertj es Signature. *'0-40,; <br /> Date:. 116105 <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br />- Date: <br />