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APPLICATION -- LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> �. FILE NUMBER: <br /> AUTHORIZATION SIGNATURES <br /> Fri, theOF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> ee, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> im, action or proceeding against the Owner/Agent's project. <br /> penalty of perjury that I am (check one): <br /> ® Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or 1 <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Print Name: Robert E.Weststevn Signature: Date: 06 <br /> Print Name: JoAnn Westste n Signature: Dater <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> FIDEVSMPlanning Application Formsl Page 3 of 3 .lob No 2006-133 LLA <br /> Lot Line Adjustment.doa(Revised 6-4-C4) <br />