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Y _ K <br /> LOT LINE ADJUSTMEN; <br /> 6 <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br />. " �✓�'':%'�f�""�A��a�s�§� ' i���T�,,aa..,�� .,�"`gt,�� . ,".�£;,''�,g `,,-�.,�:- ., .}a"vn a e e€, <br /> 'W� : <br /> !, the Owner/Agent agree, to defend,indeimnify,and hold harmless the County and its agents,officers and employees,from any claim, action <br /> of proceeding agginst the Owner/Agent's project. <br /> f <br /> 1,further, certify under penalty of perjury that t am(check ane): <br /> X Legal property owner(ow er includes partner, trustee, trustor, or corporate officer)of the property(s)involved in this <br /> application,or <br /> Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have <br /> been authorized to file on their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: d <br /> Signature: e L, <br /> Print Name: Signature: <br /> Date- <br /> me <br /> ate: <br /> Print Name: r ' f <br /> Signature; Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: i Signature: � <br /> Date: <br /> f <br /> yy <br /> { <br /> _q_ <br />