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Qlf: IV IT vv.W'.! VV'L, LLv 71V.Yil J.J WL F1.1 <br /> 7` <br /> >0. APPLICATION - LOT LINE ADJUSTMENT <br /> PputN, <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> c�.; <br /> C•/F Oqa� <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY PILE 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 /> 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: 92014 Date Executed: , 2014 <br /> Edwin Gillette Trust 41 E&J Gillette Living Trust <br /> By By <br /> April C.Gillette,Trustee Apr-it 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 f <br /> Marie Gerald McNeal, Co-Trustee Carol Chapin Humes, Co-Trustee f <br /> Date Executed: 2014 Date Executed. 12014 <br /> Howard A. Will Grantor Trust <br /> Marie Gerald McNeal <br /> By <br /> Howard A. Wi11,Jr., Trustee <br /> Date Executed: ,2014' l r �� I L 2014 <br /> Date Executed: <br /> Anne Gerald Bachman <br /> We delin P.Will <br /> Date Executed: ,2014 <br /> Clifton Park Gerald <br /> F:IDEVSVCIPIanning Applicatcm Forms\ Page 3 of 4 Job No 2613-235 Lot Line Adjustmerd.dloc <br /> Lol Line Adjustmentdoc.(Revised 6-4-04) <br /> } <br />