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APPLICATION'- LOT LINE ADJUSTMENT � <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> I <br /> AUTHORIZATION SIGNATURES <br /> OKLY 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 /> rnployees from any claim, action or proceeding against the Owner/Agent's project. <br /> �ktrther, cern under penalty of PPP <br /> certify p ty perjury that I am (check one): <br /> I <br /> Q Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the P.operty(s) <br /> — involved in this application, or II <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. ;I <br /> .i;ndblad Brothers,a Partnership <br /> ( , I <br /> rat Mame: Richard Lundblad,Jr. Signature: .6�LL 4ly�Y Yi �C Date: 33 1 I <br /> mint deme: Cad Lundblad Signature: Date: <br /> •r:nt lvame: Paul Lundblad Signature: Date: <br /> q <br /> 'rnt Name: Bethany Eve Lundblad Kinn Signature: Date: <br /> I :=pint i lame: Array Marguerite Lundblad Signature: Data: <br /> -_D^�Svc\Pianntng Appncaaon Forms Page 3 of 3 Job No 2052-26 Lot Line Adjustment.doc <br /> _ot'Me Adfustaentdoo.(Rayls d6-4-04) <br />