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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> At1THORIZATION SIGNATURES <br /> I�' QNL Y THE <br /> 'OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> i <br /> 1, the Owner/Agent agree, to defend,indemnify,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 /> I� <br /> 1,further, certify under penalty of perjury that I am(check ane): <br /> i <br /> E <br /> Legal.property owner(owner includes partner,trustee, trustor,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 thisapplication and { <br /> have been authorized to rile on their behalf.,and that the foregoing application statements are true and correct. f <br /> � 1 1 <br /> Print Name: ell r GrH r 4I1+t Signature: <br /> _�. Date: <br /> Print Name: Cevt11 {-�v ,r Signature: <br /> Date.- <br /> Print <br /> ate:Print Name: ')-�^ - �+ <br /> Signature: Date: <br /> Print Name:C+-k Signature: —�_ <br /> 1 1 Date: <br /> Print Name: Signature: <br /> Date: <br /> as ii <br /> � r <br /> i; <br /> r' <br /> . f3 <br /> I; <br /> I' <br /> Id <br /> y 1 <br /> ii <br /> 1 f# I <br /> i <br /> K <br /> !A$PMPA_LA9E Fetwuaiy 1.1999 ' <br /> -4- <br /> I <br /> i <br />