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it <br /> .APPLICATION - LOT'LINE ADJUSTMENT <br /> ' f SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT .' <br /> FILE NUMBER: <br /> �i <br /> AUTHORIZATION-SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I am (check one): <br /> ® Legal property owner (owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> N involved in this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and that the foregoing application statements: <br /> are true and correct. <br /> 9 g pp <br /> Print Name: GAMY A. ABATE Signature: Date: 1) <br /> Print Name: JULIE A. ABATE Signature: Date: / D <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> =I <br /> it <br /> ii <br /> i <br /> i <br /> I ' <br /> I , <br /> it <br /> F%DEVSVMPtanning Application FormsS Page 3 of 3 Job No 2009-134 LLA' <br /> Lot Line Adjustment.doc.(Revised 6-4-04) <br /> ' 1 <br />