Laserfiche WebLink
ii <br /> LOT LINE ADJUSTMENT <br /> _MN"QUIN COY&rY COMMUNITY DEVELOPMENT DEPARTMENT <br /> i QW-Y THE R OF W9 PROPERTY ORAN AU1698M AGENT MAY FILE AN APELKATION, <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 OwnedAgeni's project. <br /> 1,further, certify under penalty of perjury that I am(check one): <br /> �C 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 owner's consent to the Application of the property's Involved In this application end <br /> have been authorized to Elle on their behalf.,and that the foregoing application statements are true and correct. <br /> p <br /> Print Name: � Signature: Date: <br /> Print Name: t' Signature: Date: �1 4 <br /> pp� Date: <br /> Print�ar 8 Signature: <br /> Al�er �. � a drio7 d15D �Z Dafe: 3 <br /> Print Name: Signature: <br /> Print Name: Signature: Date: <br /> 'I <br /> j - <br /> 5 <br /> it - <br /> 1 <br /> I <br /> i <br /> I i <br /> II <br /> Ii <br /> t <br /> I <br /> I ' <br /> ' I <br /> I <br /> I� <br /> P <br /> i <br /> III <br /> I4 , <br />` '� -,—�. _. 4.,,raem,r-ti,,,��.�,,,,.�_„� -. . _ .ems. --• -----• <br /> i . <br /> AsPEVSER/IUAPMl PLMAPPS/t.OTLIHFJW]APPFOW REV 2/1199 <br /> IF <br />