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LOT LINE ADJUSTMENT <br /> N IN TY gQMMUNITY DEVELOPMENT DEPARTMENT <br /> AQTdQt3IZAJ70N,SlGN6TVRES <br /> N 71 <br /> t, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and Its agents, officers and employees from any claim, action or <br /> proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am(check one): <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 /> have been authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: 1J� S� rT Signature: Date: <br /> Print Name: 53,—�r�n a({'-e Signature: Date: <br /> Print Name: Signature:i' Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> 1 <br /> P:DCVlCR/IDARK/PLAMAPPJ/LOTLIMUDJAPPPORM RN 2/1/99 -Q- <br />