Laserfiche WebLink
APPLICATION - LOT LINE ADJUSTMENT <br /> w t'i SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> `¢Si'�oaj <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 County arising from 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 061-140-55 <br /> Steven Lloyd Diede and Lillian Katrina Diode,Trustees of the Steven Lloyd Diode a illian Katrina Diode Restated Living <br /> Trust Dated December 3,2001; <br /> APN 061-140-56 <br /> Steven Lloyd Diode and Lillian Katrina Diode, as Trustees of the Steven Lloyd i de and Lillian Katrina Diede 1991 Living <br /> Trust <br /> Print Name: Steven Lloyd Diode,Trustee Signature, Date: <br /> Print Name: Lillian Katrina Diede.Trustee Si atu Date: <br /> FaDEVSvc\Planning Application Forms\ Page 3 of 3 Job No 2015249 LLA 2 <br /> Lot Line AdjustmentAm.(Revised 05-11-09) <br />