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a4ut� <br /> ,a •Fo, APPLICATION — LOT LINE ADJUSTMENT <br /> w`• <' SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> r I <br /> FILE NUMBER <br /> cIc"V1t'� <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the Owner/Agent's project. <br /> I, 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 th r b alf., and that the foregoing application statements <br /> are true and correct. <br /> Johnson Frazier Ranch,LLC <br /> _ <br /> Print Name: r'U 4 V/1 c N Signature: Date: Z <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> FADEVSVC\Planning Application Fonns\ Page 3 of 3 Job No 2019-86 LLA <br /> Lot Line Adjustment.doc.(Revised 6-0 04) <br />