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LOT LINE ADJUSTMENT <br /> DE p DEPARTMENT <br /> Bud 9- <br /> ["A 111v11N%Q <br /> QaAMAUMM <br /> e Owner/Agent agree,to defend,indemnify,and hold harmless the County and Its agents,officers and employees from an7octilon ceeding against the Owner/Agent's project.urther, certify under penalty of perjury that l am(check one): <br /> legal property owner(owner Includes partner,trustee,grantor,or corporate ofRcsr)of the property( <br /> this applicallon,or <br /> Leg <br /> O el agent(attach proof of the been authorized to file on their r b�lf.,and that the faregoing applicatioees tonamt to the sppllcvoon of the n statem&nIn <br /> are true and convict. and <br /> ,int Name. Thomas McCormack Slgnartur�a: <br /> Date: r/x <br /> Int Name: Slgnaturo., <br /> ring Name: Signature: <br /> ring Name: <br /> Signature: D <br /> Irini Name: <br /> Signaturw Date. t <br /> 1 <br /> i I <br /> 1 <br /> f <br /> i <br /> I <br /> J <br /> �9 <br /> t � <br /> f <br /> ' I <br /> -- rt oGV9L7/1LAPM�edwi:er917At7.xxLAP3f pP['oFM 9Ev 7/1/At .. -4— <br /> a <br />