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LOT LINE ADJUSTMENT <br /> k SAN JOA U1N COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> A TNO IZATI N SIGNATURES <br /> E'I YThy—OwNgR OF WE PROMTY ORAN AUTHORIZEDENT M Y FIL AN LJ AT N. <br /> f he Owner/Agent agree, to defend, indemnify,and hold harmless the County and its agents, officers and employees from any claim,action or <br /> 0ceeding against the Owner/Agent's project. <br /> z <br /> further, certify under penalty of perjury that 1 am(check one): <br /> O Legal property owner(owner includes partner, trustee,grantor, or corporate officer)of the property(s)involved in <br /> this application,or <br /> 0 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 applicatlon'statements are true and correct. <br /> rint Name: '�-� - r ._s��1. ..... <br /> Signature: c.=� .• �__.� Date: <br /> Writ Name: Signature: Date: <br /> 'rint Name: Signature: Date: <br /> 'rint Name: Signature: Date: <br /> Irint Name: Signature: Date: <br /> 4 <br /> y <br /> I <br /> f <br /> I <br /> [r <br /> �i <br /> '1 <br /> 4 <br /> I ' <br /> f <br /> .i F:UEVSERIIDARSIPLANAPPSILOTLINEADJAPPFORM REV 2YI199 -4- <br /> I <br /> i <br /> I <br /> E <br /> I <br />