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f <br /> 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 OwnerlAgent agree,to defend.indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the OwnerlAgent's project. <br /> 1,further, certify under penalty of perjury that t am(check one): <br /> O Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)involved in this <br /> applicatlon,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 Rle on their behalf.,and that the foregoing application statements are true and correct. <br /> Print NBm ) S� �_ �f�L2.��� Signature: Date:9"a��~dl� <br /> Print Name: ;F-1^4rc1 L) � Slgnatu Date: 0 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I <br /> i <br /> i <br /> 1:41 PMP&LA9e Febmw 1,1990 <br /> -4- <br />