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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 /> I, the Owner/Agent agree,to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> from any claim, action or proceeding against the Owner/Agent's project. <br /> 1,further, certify underpenalty of perjury that I am(check one): <br /> pI Legal property owner(owner includes partner, trustee, trustor, or corporate officer)of the property(s) <br /> involved in this application,or <br /> 0 Legal agent(attach proof of the owner's consent to the application) of the owner of the property(s) <br /> involved in this application and have been authorized to file on their behalf, and that the foregoing <br /> application statements are true and correct to the best of my knowledge a f. <br /> /nnd belie <br /> Print Name: David C. Silva Signature: G J44t Date: .0 <br /> Print Name: Kiyoshi L. Hayashi Signature: � / ate: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />