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r LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> C ONLY THE OWNER OF THE,pROPEnry OR AN AUTHORIZED AGENT MAY FILE AN AFPUCAT10 V. ` <br /> !,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 protect <br /> I,further, certify under penalty of perjury that t 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 /> / ..[1C Date: <br /> PrintName: / Signature: <br /> Nae: Signature: Date: <br /> Print m <br /> Signature:. Date: <br /> Print Name: <br /> Print Name: Signature: Date: _ <br /> Print Name: Signature: Date: _ <br /> 1' <br /> .1 <br /> r <br /> 1:41 PMPkLABe February 1,1888 <br /> _g_ <br />