Laserfiche WebLink
VLICATION - LOT LINE ADJUSTMEN <br /> : A <br /> ai S JOAQU COA <br /> T <br /> OMMUNITY DEVELO ENT DEPARTMEN <br /> PH F H1 lmpp:p <br /> IMIiAUTHORIZATION SIGNATURE <br /> O1 M PROPERTY OR AN AUTHORIZED AGENT MAY FIE AN APPLICATION <br /> I, thfORrIMAM, to�Tefeld, Adeft , a d hold hWtht Co1ntMd ids agenAoffic an <br /> employees from any claim action or proceeding against the County arising from the Owner/Agent's project. <br /> further, certify u=penalty of pErjury that I am (check one): <br /> ❑ Legal property owner(owner includes artner, trustee, trustor, or corporate officer) of the property(.) t <br /> involved in this application, or <br /> Legal agent(attach proof of the owner's consent to the applicatic%i of the prcpQrty's involved in this <br /> application and have be&autjjiz4!o&oitl behalf., and that tfiiegogg applicatic�,statients <br /> are true and correct. • •• • �� , <br /> E&F Financial Services,Inc. (Legal Agent) <br /> i 0�� <br /> Print Name: William Feldbrill Signature: Pate: <br /> Pnnt� na r <br /> Print Name: Signature: ate: <br /> F:1DE nning Application Fonnsl• age J Of Jot,No 2015-235 LLA <br /> Lot Line Adjustment.doc.(Revised 05-11-09) • • • <br /> I <br /> 00 <br />