Laserfiche WebLink
r . <br /> LOT LINE ADJUSTMENT <br /> ,�[�S IVIE111T <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> -53 NNW <br /> 1,the Owner/Agent agree,to defend,Indemnify,and hold'harmless the County and its agents,affiners and empinyees,from.any claim,action <br /> or proceeding against the Ownerr/Agent's project <br /> i,further,certify under penalty of perjury that I am(check one): <br /> X Legal property owner(owneer includes partner,trustee,trustar,or corporate officer)or the property(s)involved in this <br /> application,or 1 <br /> Legal agent{attach proal of the owner's consent to the application of the property's involved in this application and have <br /> I <br /> been authorized to rite on,their behalf.,and that the foregoing application statements are true and correct <br /> 1 <br /> Priat Name: r .j�,r 'n,,yl Signature:' <br /> Print Name: Car lc, ( 1 sivaatute:—1 _Date: <br /> Print Name: eruQ�ff k' Signutute: j f _Date: 3 -Q <br /> Print Name: I Sip,naturt: _Date: <br /> Priat Name: SAguaturc. Date: <br /> -4- <br /> f <br />