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f <br /> �\ APPLICATION -- LOT LAVE ADJUSTMENT <br /> 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 /> 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 /> Ed\A,-ir 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: f y /` 201.4 <br /> Park S. Gerald Remainder Trust Cliap• tit < --one <br /> By _ B <br /> Marie,G. Gerald, Co-Trustee Charles Chapin, Co-Trustee <br /> By -' . _. ---- By <br /> Marie iGerald McNeal,Co-Trustee Carol Chapin Humes, Co-Trustee <br /> Date Executed: . 2014 Date Executed: 2014 <br /> Howard A. Will Grantor Trust. <br /> Marle:Gerald N4cNeal <br /> By <br /> Howard A. Will,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 /> F:\DEVSVC\Ptenning Application Forms\ Page 3 of 4 Job No 2013-235 Lot Line Adjustment.doc <br />