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APPLICATION - LOT LINE ADJUSTMENT <br /> ._.. ._. <br /> �= SAN JOAQUlN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1 FILE NUMBER: <br /> AUTHORIZATION SIGNATURES <br /> f <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the Owner/Agenfs project. 1 <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) <br /> involved in this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Print Name: Paul J. QQtelli Signature: kJ4 <br /> Print Name: Signature: Date:_ <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> F;0EVSVC%Ftenn"Apdkcatl Fams6� Page 5 of 7 <br /> I M I WA AeiInam l r1W (Ravimn A-"I i <br /> t <br />