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E <br /> LOT LINE ADJUSTMENT <br /> SAN JDA UIN COUNTY COMMUNITY DFVF_LOPMENT DEPARTMENT _ <br /> ' AUTH RIZATION S! NATURE <br /> '4 . <br /> ONLY ME OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> ih <br /> the Owner/Agent agree,to defend,indemnify,and hold harmless the County and Its agents,officers and employees from any claim,action or <br /> roceeding against the Owner/Agent's project. <br /> :I <br /> further, certify under penalty of perjury that l am(check one): <br /> E! IF <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 /> I have been authorized to file on their behalf.,and that the foregoing application statements are true and correct <br /> ;e <br /> print Name:,� C_ <br /> Signature:Jr JS � : 1' //, �� <br /> ! <br /> l Date: <br /> Tint Name: i! Signature: Date: <br /> Tint Name: M Signature: Date: <br /> �y <br /> Tint Name: Signature: Date: <br /> Tint Name: '� Signature: Date: <br /> ` �I <br /> is II` <br /> i' <br /> t' I <br /> �i <br /> fl <br /> .I <br /> !I <br /> a: <br /> j <br /> i0 <br /> 'I <br /> ,I <br /> ! <br /> ?I <br /> it <br /> � I <br /> �! I <br /> ii <br /> ^rwE.a...: >➢arm--.�-.—;`-`e.,.""3...�- - ... "'".-'�',,.,;[ �:..F b;�-�-� .^�. -�-ti..:.�.�: �ti a�s� �. _-.. ,:.ar ...a�-a'�� -.�:.�.:�-d=�;:�r .--�4.,�'-J <br /> 1 <br /> iE <br /> „ 1 <br /> �I <br /> 0 F <br /> F:OEVSER/I ARK/PLANAPPS/LOTLINEA6.IAPPFOR[3 REV 2/1/99 —4— <br /> I` <br /> I' <br /> -- <br />