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[I <br /> [I r <br /> P�uiN <br /> ' APPLICATION -- LOT LINE ADJUSTMENT <br /> f i SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAFF E AN APPLICATION. <br /> 1, the Owner/Agent agree, to defend, indemnify, and hold harmless the County its agents, officers andemployees from any claim, action or proceeding against the Owner/Agent's proje <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> ❑x Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> .i <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 /> ii are true and correct. <br /> Print Name- MARX H. HICKS Signature; <br /> Date: <br /> Print Name: JAMES M. HAMMOIVIkS Signature, <br /> `Date: <br /> Print Name: WILLIAM E. HAMMONDS <br /> Signature, Dake: F �/ -A �r - <br /> € Print Name; TIMOTHY R. HALL <br /> Signature: Date: <br /> Print Name: JASON H. BALL Signature: <br /> Date: <br /> I� <br /> , t <br /> E <br /> FI <br /> i <br /> �j <br /> k <br /> w <br /> FADEVSVmPiannhgAppitcation Formslk <br /> 11 Lot Lina Acrjastment.doc.(Ravised&"4) Page 5 of 7. <br /> ri <br />