Laserfiche WebLink
JT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY ORANAUT40RIZMAGENT MAY FILE AN APPLICATION. <br /> 1 <br /> 1,the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and its agents,officers and employees from ally claim,action or <br /> proceeding against the Owner/Agent's pioject. <br /> 1,further, certify under penally of perjury that i am(check one): <br /> Legal property owner(owner Includes partner,trustee,trustor,or corporate officer)of the property(s)involved In this <br /> application,or <br /> . 0 Legal agent(attach proof of th9 owner's consent to the application of the property's involved In flits application and have <br /> been authorized to file on their behalf.,and that the foregoing application statements are true and correct <br /> I <br /> Print Name. Cx'Kk\ R LZSignature: . Date; <br /> Print Name: p 5 I- Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date; <br /> K1RKVEWsfiyOO OEN REV.Vif" <br />