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LOT LINE ADJUSTMENT <br /> SAN JOA UIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF T PROPERTY ORAN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the Owner/Agent agree,to defend,indemnify,and hold harmless the County and its agents,ot'icers and employees from any claim,action or <br /> 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,grantor, or corporate officer)of the property(s)involved in <br /> this 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 file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: rimy\ C'\,\\Q lr Signature: -^�" N ' Date: Ar'/. b <br /> i <br /> Print Name: Sa�� e off\ Signature: x- ` L `— Date: l0 3 -06 <br /> Print Name: `— '���4 w`r'�\e � SignatureM12"Z ezlij Date: 10 —.3'C3 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> P:DEVSEP/2�APK/PLViAPPS/IgTLINFADJAPPFd PN PEV$/1/99 -4- <br />