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41 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,otflcers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project <br /> f,further, certify under penalty of perjury that i am(check one): <br /> 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 <br /> have been authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> /1/j d N 5( nature: Gt/YY�'� Date: <br /> Print Name: — 9 <br /> PrintName: Signature: Date: <br /> c <br /> r Print Name: �'� � $� Signature: Date: �/ v <br /> Print Name: ' Signature: Date: <br /> Print Name: Signature: Date: <br /> t � <br /> -------------- <br /> 4 <br /> t <br /> i <br /> I <br /> ti <br /> r <br /> { <br /> 1 <br /> i <br /> 1:11 PMP&LA9i FeWUW 1.19" <br /> -q- <br />