Laserfiche WebLink
LOT LINE ADJUSTMENT <br /> :. SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1,the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and Its agents, officers and employees from any claim,actlon <br /> or proceeding against the Owner/Agent's project <br /> !,further, certify under penalty of perfuryIthat 1 am(check one): <br /> Legal property owner(owner Includes partner,trustee,trustor,or corporate offlcer)of the property(s)Involved in this <br /> application,or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's Involved in this application and <br /> have been authorized to file on their behalf.,and that the foregoing application statements are true and correct ' <br /> i <br /> t; <br /> Print Name: Signature: Z7 <br /> Date. O/�� <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i, <br /> ei <br /> t .. <br /> 4., <br /> j r <br /> ` 1:41 PMPA_Uk f Februory 1,1M <br /> —4— <br /> ifi i <br /> n <br />