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rHut b4!b <br /> $: a APPLICATION LCAT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUN" DEVELOPMENT DEPARTMENT <br /> -- --• FILE NUMBER: <br /> AUTHORI ATIO 'SIGNATU SS: <br /> bNL,Y, HE'0WNl5R' '"j.PROPERTY ORAAUTHORMS0 AGT MAY" :IL 'AN:'�APPLIG�TIaN: <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 /> 1, 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: .2414 <br /> Edwin Gillette Trust#I E&J Gillette Living Trust <br /> By By <br /> April C. Gillette,Trustee April C.Gillette,Trustee <br /> )date Executed: , 2014 Date Executed: .12014 <br /> Park S.Gerald Remainder Trust Chapin Trust No.One <br /> By By <br /> Marie G.Gerald,Co-Trustee Charles Chapin,Co-Trustee1117 <br /> . <br /> By — - By� �pT <br /> Marie Gerald McNeal, Co-Trustee Carol "hapin Piles,Co-Trustee <br /> Date Executed: .12014 Date Executed: ,2014 <br /> Howard A. Will Grantor Trust <br /> Marie Gerald McNeal <br /> By <br /> .Howard A. Will,Jr.,Trustee <br /> Executed: , 2014 <br /> Date Executed: ,2014 <br /> Anne Gerald Bachman <br /> Wendelin.F. Will <br /> Date Executed: . 2014 <br /> Clifton Paris Gerald <br /> F:IDEVSVC\P1annlrg7 Appllcatien r—AN Page S of 4 Job No 2013-235 Lot une Adjustment.doc <br /> Lot Line Adjuatmaml,doc.(Revised 8-4-04) <br />