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l <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> a' AUTHORIZATION SIGNATURES + I <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,action <br /> or proceeding against the Owner/Agent's project. <br /> n <br /> 1,further, certify under penalty of perjury that 1 am(check one): <br /> O Legal property owner(owner Includes partner,trustee,trustor, or corporate officer)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 Me on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: Kathe K., Logemann, trustee Signature: Date: <br /> Print Name: 4-M MQQ <br /> 't Signature: Date: <br /> Print Name: Richard Henr. Lo emann Signature: � a <br /> PrintName: 5. Signature: -O d <br /> S "+: .�. , <br /> Vf.:F♦ .. .. <br /> Print Name: Signature: Date: <br /> j�. y <br /> if <br /> t <br /> I " <br /> r <br /> 4 , <br /> 4' <br /> �L. <br /> 1:11 PMPA LA06 FtGnury 1,1990 <br /> ,q. <br />