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APPLICATION - LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ...:..........:.:..... <br /> ................................... .:.......... 'in�:•ii:.ire:�.. :J::..: :'( � <br /> 1t�� •• "' :N 'J'::>%.Fi. ii:4::42..+:4i:44'N. <br /> .�. :.:::, <br /> ,:::::,::: .::::.:::::::... ..................................................... <br /> gNI.Y i H t7WNa p 7Nl~pFidPEff pA AN AtJTflgi170 AI3Erll:twA11Y Fly tl4f) Vpi 1GAY1gN <br /> SIGNATURE: 1 certify under penalty of pedury that I am (check one): <br /> ❑ Legal property owner(owner Includes partner,trustee,trustor,or corporate officer) of the property(s) <br /> Involved In this appllcatlon, 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 <br /> that the foregoing application statomonts are true and correct <br /> Stgnmtum: Dom.: <br /> signature: Date <br /> signature: Dad: <br /> Sbnatum Dae <br /> SIgnatum: D&W <br />