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a � <br /> LOT LINE ADJUSTMENT <br /> SAN JOA UIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> O&YTHEOWNER OF THE PROMa On AN AUTHOnIZED AGENT MAY FILE 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 or <br /> proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that 1 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 /> r <br /> Print Name: !&)' C � I1199440Signatur <br /> Date` <br /> Print Name: Signature: Date: <br /> Wnf Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> Print Name: Signature: Data: i <br /> FTDLVsEA/IDARK/PLWAPP9/LOTLI NEAGIAPP roM REV 7/1/99 -4- <br />