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F « 4 r <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONt Y THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILEAN APPLICATION <br /> t, fire Owner/Agent agree, to defend,Indemnify,and hold harmless the County and its agens,oft7cers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project. <br />{ f,further certify under penalty of perjury that I am(check one): <br /> f o Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the pro art s involved in this <br /> application,or p y() <br /> A( Legal agent(attach proof of the owner's consent to the application of the property's Involved In this aplicatlon and <br /> have been authorizaed to file on their behalf,and that the foregoing eg ng application statements are Lure and correct <br /> Print Name: f4�0 <br /> Signature: f <br /> Date: 3. <br /> Print Name: <br /> Signature: <br /> Date: <br /> Print Name: <br /> Signature: <br /> Date: <br /> PrintName: <br /> Signature: <br /> Date: <br /> I <br /> I <br /> .1 <br /> d <br /> 1:61 PMPA LA98 February 1,1999 <br /> -Q- <br /> k <br />