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APPLICATION v LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> i FILE NUMBER: <br /> AUTHORIZATION SIGNATURES <br /> DNLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> the OwnerlAgent agree, to defend, indemnify, and hold harmless the County and its agents, officers and - <br /> aii,oloyees from any claim, action or proceeding against the Owner/Agent's project. <br /> !arther, 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 /> _j Legal agent (attach proof of the owner's consent to the application of the property's involved in this <br /> appiication anc have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> _un.dbiad Brothers,a Partnership ) <br /> -:int Name: Richard Lundblad.Jr. Signature: Date: S_- !_i_i <br /> -iri'var�e: Carl Lundblad Signature: Date: <br /> r,iaree: Pauli Lundblad Signature: Date: <br /> -rnt ivtame: Bethany Eve Lundblad King Signature: Date: <br /> ;'. ,tame: Amy Marguerite Lundbiad Signature: Date: 'I <br /> :. '_vmiq\Planning Appiicetbn Fofms\ Page 3 of 3 Job No 2012-27 Lot Line Adjumentdoc <br /> -..-. .e Adjus:ment.doc.(Revised 6-4-C4) <br />