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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNFR OF THE PROPERTY OR AN AIITHORIZFO AGENT MAY FILE AN APPLICATION. <br /> 7f1,theOwner1Ag,; ent agree, to defend,indemnify,and hold harmless the County and Its agents,offlcers and employees from any claim,action <br /> against the Owner/Agents project. �i.� �` �"ify under pen ty of perjury that l am(check one): ",�" ✓ <br /> ; Legal property owner(owner Includes <br /> partner, trustee, trustor, or corporate officer)of the properly(s)Involved In this <br /> e <br /> �pplic <br /> atlon,or <br /> Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application and <br /> have been authorized to file on their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: /!LV Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date.- <br /> Print <br /> ate:Print Name: Signatu <br /> 'f Date: —..�.�._ <br /> Print Name: Signature: <br /> Date: <br /> ,'Print Name: Signature: <br /> Date: <br /> I1 <br /> k� <br /> -ate.. -�.:;;�ti�:•-�u..,..�s -- �..�.�.—.. -�..--� - — -- <br /> 1 <br /> t <br /> tO PMPA LAU February IJOBB <br /> -4- <br /> I� <br />