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`'-- APPLICATION - LOT LINE ADJUSTMENT <br /> r SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> f, 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 /> a <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 /> ,nvolved 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 41 E& J Gillette I-ivine Trust <br /> By _ _ _T By <br /> April C. Gi lette,Trustee April C. Gillette,Trustee <br /> Date E,.ecuted: 2014 Date Executed: . 2014 <br /> Paik S Gerald Remainder Trust Chapin Trust No, One <br /> By By <br /> X1arie G. Gerald. Co-Trustee Charles Chapin, Co-Trustee <br /> By , a ,A`�Wiz. ; .� u ��� ��L By <br /> 'Marie Gerald :11cNeal, Co-Trustee Carol Chapin Humes,Co-Trustee <br /> 1 <br /> Date f 4ecutzd: 2014 Date Executed: 2014 <br /> How and A. Will Grantor Trust <br /> %larie Gerald.\ic eal <br /> By _ _ <br /> Howard A. Will. Jr. Trustee <br /> Date F�ecuted: _ -_ _ _ _, 2014 <br /> Date Executed: _ 2014 <br /> ."ne G raid Bachman <br /> -- <br /> Date f xecuted: � ! - 2014 <br /> 1 (',ifton Park Geraid - - -- <br /> F E.. ,.Vr .3 Ari Ca*ir Fart .t Page 3 of 4 - - --- <br /> r. c- . ,_ g Job No 2013-235 Lot Line AdiL_Orrent dor. <br />