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APPLICATION - LOT LINE ADJUSTMENT <br /> .K # SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER:. <br /> i,f, yh ;,•+ ,,,ry4f WN,k .f ','F7 " + p'nh �P's mi .nG L- iF { Ahl { y !�,Ei3•� Y"vat 5 JF.,yk' , :} V.... <br /> 3 <br /> yr E max, ' —.4. , _3 a ...,n x'` '' .. i .. "'$2 ?, F$ -E �•?,.•c r fi. <br /> ? <br /> i "' rr {efn b,,-Fs ,+3t E+ ' F ✓` 1 '''ig✓'-'�+- ar'� rr <br /> .:a e,-�k ,j'`" t'„4•w'`f�l.,i - <br /> F. y <br /> k the,Owner7Agent agree, #o defend,jh.d6fn fy, .and hold hafftei ss the County,;and its agents, officers and <br /> employees from anyFclairri,,ac tio.n.or proceeelrng againsf:the OwherrlAgent'sprojecf: <br /> 1 furthe <br /> r, ce #ywunder penalty of er u that f:.am check one <br /> a <br /> , f-egaf property owner(owner includes,partner,`trWee, trustor,.of Corporate officer) of the pro eY(s) <br /> involved in this'appiieatfop; ar::r, <br /> P .. p <br /> FE • . - . <br /> Legal agent(attach proof of'the owner's;consent to the application of the pro rty's involved m•phis <br /> application and have kieen authorized to file ori their'behaff a ii' at the for oing application statements. <br /> are'•true and correct. <br /> Print Name: ICU I Signature: uv <br /> �(, f :.;' .1���%ALD �- Date: <br /> Print Name: Signa#ure: Date: <br /> Print Name: i! Signator . Date: <br /> Print Name: <br /> Signature: . Date: <br /> Print Name: Signature: Date: <br /> i <br /> I <br /> i <br /> If • <br /> i <br /> e <br /> i <br /> s <br /> {6 <br /> F:IDEVSVC\Pianning Application Fo'rms� Page 5 of 7 <br /> Lot Line Adjustment.doc.(Revised 63-03) <br /> J� <br />