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� y <br /> / LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> f 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,officers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project <br /> 1,further, certify under penalty of perjury that 1 am(check one): <br /> O Legal property owner(owner Includes partner,trustee,trustor, or corporate officer)of the property(s)Involved In this <br /> application,or <br /> Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application and <br /> have been authorl:ed to rile on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: ,,. -�ro� e Signature: Date:6 e f <br /> Print Name: S DlY" Signature :&LP7Date0/ <br /> Print Name: ZZZ 7— Signature: Aell 4�- Date: 0 <br /> Print Name. <br /> �T+T AWiQ(�' Jl@S7 Signature: Date: Oro 4 Of' <br /> Print Name: Signature: Date: <br /> 1:11 PMPA_LA06 FOMuery 1.1080 - <br /> _4_ <br /> I <br />