Laserfiche WebLink
Z ° APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> \�/FORS <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: ,2014 Date Executed: ,2014 <br /> Edwin.Gillette Trust#1 E&J Gillette Living Trust <br /> By By <br /> April C. Gillette,Trustee April C. Gillette,Trustee <br /> Date Executed: 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 /> By By <br /> Marie Gerald McNeal, Co-Trustee Carol Chapin Humes, Co-Trustee <br /> Date Executed: 2014 Date Executed: ,2014 <br /> Howard A. Will CirantorTrust <br /> Marie Gerald McNeal <br /> By <br /> Howard A. Will,Jr.,Trustee <br /> Date Executed: .2014 <br /> Date Executed: ,2014 <br /> I <br /> Arne Gerald Bachman I <br /> Wendelin F. Will <br /> Date Executed: 3 2014 <br /> C1t�Park Gerald <br /> 9 Pp i <br /> F:IDEVSVC\Plannin Application Formsl Page 3 of 4 Job No 2013-235 Lot Line Adjustment.doc <br /> Lot Line Adlustment.doc.(Revised 6-4-04) <br />