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APPLICATION - SPECIAL PURPOSE PLAN <br /> ., SAN JOAOUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> - :�:.�:..:.::..:.;:� :.t..r..yA.`ca•R[�idx�aarC:, Y ������� �c= .r•}nr,•,' ul [y < <br /> ...,..,...,•::.:.......:......:. ...... .-::.,..,..::,o.�r.:�::-.,,:.., ..&-.. off$ <br /> <icf y s� : ,. ,�YJf�{iiF� � 1 +fy .3-..;jtii§?aS'• .. c.4:2>:. <br /> ti.a£.e.r •.3a:< ,.r%4•.:: ko-� w,,:::,r.. ..t efe•.. :.:v., �-.R.. <br /> SIGNATURE: I certify under penalty of perjury that I am(check one): <br /> O Legal property owner(owner includes partrrer,trustee,motor,or corporate officer) of the ptoperty(s) <br /> Involved In this application,or <br /> ❑ Legal agent(ettech proof of the owner's consent to the applfc ttlon of the property's tnvotved In this <br /> application and have been authorized to file on their behalL,and <br /> that the foregoing application statements are true and correct. <br /> Signature: n- f <br /> Vie: D rts- <br /> SNnaftrw <br /> IDatec <br /> �= DaAlae �I <br /> fie: Dart <br /> I <br /> w <br /> I <br /> , <br /> –5– <br />