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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: � <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 their behalf., and that the foregoing application statements <br /> are true and correct. <br /> APN 177-100-25 and 34, Ace Tomato Company, Inc. <br /> Print Name: !)E/" f!}rtrSStd Signature: <br /> Print Name: Signature: Date: <br /> APN 177-100-21/and 33, Lagorio Properties LP <br /> Print Name: " .i.v'-GSA/U} Signature: Date: <br /> Print Name: Signature: Date: <br /> F:OEVSVC\Planning Application Forms\ Page 3 of 3 Job No 2011-97 Lot Line Adiustment.doc <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br />