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1 9. <br /> y <br />� k <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 717 <br /> k '"'" 5`F pEr�'E.S4#§ '�9w �'`A=✓'1. I fdll2.f 4JT v lir i�� TIM� <br /> } r r <br /> 1, theOwner/Agent agree, to defend,indemnify, <br /> 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 /> X Legal property owner(owner includes partner, trustee, trustor,or corporate officer)of the Property(s)involved din 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 have <br /> been authorized to file on their behalf,and that the foregoing application statements are true and correct <br /> '-9 <br /> Print Name: !^4rrC I.3` Wep,-arol Signature: Y n <br /> (( � Date: � -- f J -- O � <br /> Print Name: V V C,i -�-� <br /> O @ 1) Signature: <br /> Date: <br /> Print Name: f <br /> Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> _4_ <br /> i <br /> i <br /> r <br />