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dui <br /> P h <br /> /- APPLICATION - LOT LINE ADJUSTMENT <br /> :t <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �IFOR� <br /> FILE NUMBER' <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> remployees <br /> he Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> from any claim, action or proceeding against the Owner/Agent's project. <br /> 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 /> Kenneth G. Robertson and Kelly Robertson,as Successor Co-Trustees of Gerald A. Robertson Living Trust dated August 9, <br /> 2002 <br /> Print Name Kenneth G. Robertson Signature i ate g q <br /> Successor Co-Trustee <br /> Print Name Kelly Robertson Signature Date <br /> Successor Co-Trustee -- <br /> Kenneth G. Robertson and Deborah W. Robertson,Trustee of th4Ron 020rWdr 2011 <br /> Print Name Kenneth G. Robertson,Trustee Signature Date <br /> Print Name. Deborah W. Robertson,Trustee Signature Date <br /> Print Name Kelly Robertson Signature Date 1 <br /> F 0EVSVC1P1anning Application Formst Page 3 of 3 Job No 2019-166 LLA <br /> Lot Line Adjustment doc (Revised 6-4-04) <br />