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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <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 aIvolved <br /> or proceeding against the OwneNAgent's project. <br /> I, further, certify under penalty of perjury that I am(check one): <br /> d� Legal property owner(owner includes partner, trustee, trustor,or corporate officer)of the property( <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 /> �1 /` have been authorized to rile on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name.. �: Y.��L. �/1 , � Signature: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> 1.41 PMP UN F*du 1,19" <br /> -4- <br />