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-T. 117151 W. <br /> LOT LINE ADJUSTMENT <br /> f` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORrZ477ON SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY ORAN-AUTHORIZED AGENT MAYPILE AN:APPLICATION. <br /> 1,'the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project. <br /> 1,further, certify under enalty 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 Me on their behalf.,and that the foregoing application statements are true and correct. <br /> �j <br /> Print Name: J-Slgnafure:-' �� � Data: J <br /> Print Name: \(Signature:�i�yn1,�,4 .. ,r Q7�.- Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: ' Date: <br /> Print Name: Signature: Date: <br /> i� <br /> 1,41 PMPA LASE Febmary 1.1997 <br /> -4- <br /> 1 <br /> Y <br />