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A � <br /> SAN JOAQUIN COUNTY LOT <br /> LINE ADJUSTMENT <br /> C <br /> RUTNORIL4TlON SIGNAARTMENT <br /> TURES <br /> ONLY Tiff OWN$R OF THE PRdPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION, <br /> 1, the Owner/Agent agree, to defend,lndemnlfy,and hold harmless the <br /> or proceeding against the OwnerlAgent's project. <br /> County and its agents, officers and employees yees from any claim,action <br /> 1, further, certify under penalty of perjury that l am(check one): <br /> i <br /> Legal property owner(owner Includes partner,trustee, trustor, or corporate omcer)ofthe grope s involved In this <br /> application, or <br /> � �1 <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 aufhorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: Gar Lee Phe1 s <br /> Signature: <br /> Print Name: Date: <br /> Signature: <br /> Print Name: Date: <br /> Signature: <br /> Print Name: Date: <br /> Signature: <br /> Print Name: Date: <br /> Signature: �~- <br /> Date: <br /> ' 1 <br /> J <br /> 1 <br /> ' - k <br /> - <br /> „-"'.lir-�.... <br /> +5 <br /> 1:41 PFAPA LAAO February 1.1809 , <br /> -q_ <br /> l <br />