Laserfiche WebLink
L-OT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1,the OwnedAgent agree,to defend,indemnify,and hold harmless tire County and its agents,officers and employees from any claim,action or <br /> proceeding against tire Owner/Agent's project. <br /> 1,further, certify under penalty of perjury that I a►n(check one): <br /> O Legal property owner(owner includes partner_,trustee,trus(or,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 have <br /> been authorized to file on their behalf.,and that(Ire foregoing application statements are true and correct. <br /> Print Name: KU L 6')'C S;►J[ 1� Signature: Date: 6 0 <br /> Print Name: #moi)►'I KD E fC S f-i Signature: Date: <br /> Print Name:112LPC�i9l�� S/U"l-,fes ��L/g Signature: i Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i U:UJ AMPA_lA98 F.U-1Y 1.1999 -4- <br />