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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURE'S <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAYFILE 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 /> 1,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)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 rile on their behalf.,and that the foregoing application statements are true and correct <br /> Print Name: /-=_GD I —A- G. y Nil C--A Signature: � �' � � `' '��� Date: 7`�—f <br /> �� �Yn1.4 Co•4 �A ryr r c-:1 7`�---�ST- � 1 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: i <br /> i <br /> Print Name: Signature: Date: <br /> i <br /> i <br /> f <br /> 1 <br /> 1 <br /> ' 1 <br /> - 1 <br /> � I <br /> i <br /> 1:41 PMPA LA03 Febnmry1,1888 <br /> -4- ' <br /> J� <br />