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3 <br /> T� <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :�= --.;:. i_�?-5 d 'f �4., :'gid, yr.;i c -.. f "r,`'' �"'s"k'C d.�f'e 2!?tGr_'-,q�E.i.-:;•:.rn s �• �Ep?`mg:r.; "'sem:�} --,cc - yc!-•��z. ,��s: e. pis- <br /> ms��„�:,id+�g ix¢ <br /> #.e: irk3 .; 3r �f ��41 ii` ��UT�7�J81ZF�D,51[, gTURF ; <br /> f. <br /> �E.. -:wit. }�'�v�'ii ��"-�;� -�I �;; rf.� vr:BfTt^;u i r,- �'w �f:3:•"�"vAk Fd�u -� :.?.��3���=. f��p�;��iFk-f p•.�.ar�„vr g� ;3 z�i Pew•+€,�'a� 7E�,:x a.^tea ��C ^��t„y.” <br /> 11, the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees,From any claim,action <br /> or proceeding against the Owner/Agent's project. <br /> I <br /> 1,further,certify under penalty of perjury that!am(check one): <br /> X Legal property owner(owner includes partner, trustee,trustor,or corporate ofircer)of the property(s)involved in this <br /> application,or <br /> Legai agent(attach proof of the owner's consent to the application of the property's involved in this application and have <br /> been authorized to file on their behalf,and that the foregoing application statements are true and correct <br /> Print Name: tJQI, ,.� W 1rLf PCt`� VP 144 Date: '5 <br /> Print Name, �� L 1 V f'j�W Ifign re:� 2 Date: ,5- — C <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> Print Name: Signature: Date: <br /> F <br /> • <br /> I <br /> .q. <br /> L <br />