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{ <br /> -- APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. _ <br /> the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> ;n;oyees from any clairn, action or proceeding against the County arising from the Owner/Agent's project <br /> u:rner, certify under penalty of perjury that I am (check one): <br /> -egal property owner(owner includes partner, trustee, trustor. or corporate officer, of the property(s) <br /> =evolved In this application, or <br /> -egal 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 j <br /> are true and correct. �! <br /> -,Su, A. Lundblad and Cart Lundblad <br /> .:nine Paul A. Lundblad Signature Date <br /> - - :,ame Cart Lundblad Signature Date <br /> �I <br /> G65-100-29 and 30: it <br /> n,, -undblad.as trustee(or the successor trustee)of the Amy Lundblad Trust as amended and restated in 199,as <br /> -.Ged on April 27 2001 <br /> aa-;e Amy Lundblad,Trustee Signature. - Date. <br /> - N6a >:� - Siyrature. ' =x• - Date <br /> Sionature Date <br /> - clog noFl awr Fora.; Page 3 of 3 JOL No'01'-79 -ol!_me AdivatmeW u - <br /> �J u3'T.2llf dJG. FZ"'uN'x"1.15-'S,i9j <br />