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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> t . <br /> ONLYTHE 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 or <br /> proceeding against file OwnerlAgent's project <br /> [,further, certify under penalty of perjury that I am(check one): <br /> O Legal property owner(owner includes partner,trustee,trustor,or corporate officer) of the property(s)involved in this <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 have <br /> been authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> 11�Lo > <br /> Po ;�� <br /> Print Name: ya"w L Signature: -zZxDate: <br /> Prifil Name:l�?-C J:TUV J6;d/V �/✓UYSi/11 t.°i3 Signature: Date: <br /> � T <br /> Print Name: ' ,fc - k`_ C Signature: "° Date: <br /> Print Name: .� —C..�9 Sc�I Signature: , `- � Date: <br /> Print Name: .f5 � Signature- Date: <br />