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APPLICATION - LOT LINE ADJUSTMENT <br /> � USTMENT <br /> " L•. t.: SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: <br /> Ii <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): I <br /> I <br /> a X Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) i <br /> 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 /> Print Name: YVONNE PERRIN <br /> Tf2 Si 1. .r- � r I <br /> Signature: <br /> �U <br /> g 6 � +r�Y� Date: <br /> U I <br /> A Print Name: Signature: U L1 <br /> Date: <br /> Print Name: <br /> Signature: <br /> Date: I <br /> Print Name: Signature: <br /> Date: <br /> Print Name: <br /> Signature: <br /> Date: <br /> i <br /> 'I I <br /> ii <br /> 1 <br /> '1 <br /> i�:4MVSVC;Manning Application t-orn3sl Page 5 of 7 <br /> Lot Linc:Adius,rnr:nt.rfca;.(REMSf-:!i G-q_pA} <br /> li <br />