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IP �, 1 <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILL=AN APPLICATION <br /> 1, the Owner/Agent agree, to defend,indemnify,and hold harmless the County and Its agens,officers and employees from any claim,action <br /> i <br /> or proceeding against the Owner/Agent's project. <br /> i <br /> 1,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)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 aplication and <br /> have been authorizaed to file on their behalf,and that the foregoing application statements are tore and correct. <br /> I <br /> Print Name:07 Fa R 4a-0-90slgnat e: Date" <br /> blti <br /> C, <br /> Print Name: I - �� ��� �/c Signature: Date: <br /> Print Name: l j2�1�(� �/�� Signature Date: <br /> Print Name:�Y ^D F __ o VO&Signatur . �/ DqA-344- b- <br /> f <br /> I <br /> i <br /> 1:41 PMPA_LA98 February 1,1999 <br /> -4- <br />