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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> AUTHORIZATION SIGNATURES <br /> r <br /> E OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> r/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> rom any claim, action or proceeding against the Owner/Agent's project. <br /> ertify 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 /> I <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. <br /> Lundblad Brothers,a Partnership <br /> print Name. Richard Lundblad,Jr. Signature: Date: <br /> Print Name: Carl Lundbiad Signature: COJL-- pap: `5 <br /> Print Name: Paul Lundbiad Signature: Date: <br /> ?rint Name.- Bethany Eve Lundblad King Signature: Date: i <br /> u <br /> punt Name. Amy Marguerite Lundblad Signature: :,{LLQ u {l f Date: <br /> I <br /> F kDEVSVC\Pianntng Appiirat Forms\ Page 3 of 3 Job No 2012-27 Lot Line Adjustment.dCC <br /> L01 Llne Adjustment.doa.(Revised 54-04) <br /> p <br />