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1. <br /> J � <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1,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 /> 1,further,certify under penalty of perjury that i am(check one)_ <br /> X Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have <br /> I <br /> I been authorized to file on their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: �1/ G fJ �S Signature: - Date: <br /> Print Name: I Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I <br /> I <br /> ! <br /> 4_ <br /> I <br /> { <br />