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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT'DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> I ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <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 /> 1,further, certify under penalty of perjury that I am(check one): <br /> x\ <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 this application and <br /> have been authorized to We on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: ��w/ /!�l'YI /-'1 er Signature: Date: G <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />` Print Name: Signature: Date: <br /> w..-tic—^-�-J'V_ .�+Y• :n- - <br />