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.n <br /> Y 1 ' <br /> LOT LINE ADJUSTMENT <br /> '� AN A !N oUNTY C MMUNIa DEME LOPMEN D�PAR7 MINT F <br /> li N lZ d E E A 111 1111c, N. <br /> to defend,indemnify,and hold harmless the County and Its agents,ofRcers and employees from any claim,action or <br /> !,the Qwner/Agent agree,,, <br /> proceeding against the owneNAgent's project. <br /> �I <br /> 1,further, certify unde!penalty of perjury that l am(check one): <br /> O ii Legal property owner(owner includes partner,trustee,grantor,or corporate officer)of the from <br /> involved In <br /> i this application,or ' <br /> p i Legal agent(attach proof of the owner's consent to the application of the property's!evolved In this application and <br /> tatements are true and correct, <br /> have been authorized to file on their behalf,and that the foregoing application s <br /> Print Name: <br /> } N Signature: Date: <br /> �M Date: <br /> Print Name: �-� Signature: <br /> LAQ A. <br /> �M Signature: Date: <br /> Print Name: 41 <br /> Print Name: Signature: Date: <br /> Signature: Date: <br /> Print Name: <br /> i� <br /> i <br /> 17 <br /> iM <br /> s <br /> I� <br /> iIN r <br /> i <br /> II e <br /> 'E <br /> �I- I <br /> I <br /> I! l <br /> iV <br /> p , <br /> Ft dSVSMt/IOARIt/,PLRNAPP9/L07LINPJkwAPPF0M RSV 2/1/99 —A— <br />