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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> NIS <br /> FILE NUMBER: <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, 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/Agent's project. <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 /> Date Executed: 12014 Date Executed: 2014 <br /> Edwin Gillette Trust�fl E&J Gillette Living'Frust <br /> By _ By <br /> April C Gillette,Trustee April C. Gillette,Trustee _ <br /> Date Executed: n / 2014 Date Executed: .2014 <br /> Park S. Gerald Remainder Trust Chapin Trust No. One <br /> By By <br /> 'Marie G. Gerald, Co-Trustee Charles Chapin, Co-Trustee <br /> - r <br /> By <br /> ?Marie Gcrald.fcNeal,Co-Trustee Carol Chapin Humes, Co-Trustee <br /> Date Executed: _.i 1 ; 2014 Date Executed: 2014 <br /> 'r -1 Tom;_1 ,. r 1 �•i x ��. Howard A. Will Grantor Trust <br /> \lane Gerald McNeal <br /> By <br /> Howard A. Will, Jr.. Trustee <br /> Date Fxecuted: _ _ 2014 <br /> Date Executed: 2014 <br /> Acme Oerald Bachman <br /> Daw L xr,uted 2014 <br /> C 'iflon Park Gerald - ------- <br /> F CE I.S',- -2 Aon+ Page 3 of 4 .fob No 2013-235 Lot Line ACl4stment.00c <br />