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,.�p,�t APPLICATION - LOT LINE ADJUSTMENT <br /> .......- �:.. <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> t.y i'i k ns•N/ <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, 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: 2.014 <br /> Edvrin Gillette Trust 91 E&J Gillette Living Trust <br /> By By <br /> April C. Gillette,Trustee `� April C.Gillette,Trustee <br /> Date Executed: C1C1/yl. `i ,2014 Date Executed: 2014 <br /> Park S. Gerald Remainder Trust Chapin Trust No. One <br /> By r� X�1. "/! ���1?(� By <br /> Mare 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: 12014 <br /> Howard A. Will Grantor Trust <br /> Marie Gerald McNeal <br /> By <br /> Howard A. Witl,Jr.,Trustee <br /> Date Executed: .2014 <br /> Date Executed: . 2014 <br /> Anne Gerald Bachman <br /> Wendelin F. Will <br /> Date Executed: 2014 <br /> Clifton Park Gerald <br /> P,DEVS,vCtPlanning Application Fortes% Page 3 of 4 lob No 2013-235 Lot Line Adjustment.doc <br /> Lot Line Adjustment doc (Revised 6A-04) <br />