Laserfiche WebLink
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 /> 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 /> I, 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: /A0A4?1* �� rNA stern Signatur M414444 Date: <br /> Print Name: 1J�V 1� D Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> 1:41 PMPA_LA98 February 1,1999 <br /> -4- <br />