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LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> 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 agens,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 /> o 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 aplication and <br /> have been authorizaed to file on their behalf,and that the foregoing application statements are ture and correct. <br /> Print Name: t jbM� �s re rte tr Signature: �Date. •03 <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> Print Name: Signature: <br /> Date: <br /> 1:41 PMPA_LA98 February 1,1999 <br /> -4- <br />