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QU IN APPLICATION QUARRY EXCAVATION <br /> � •yam <br /> 0. `` SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: QX- <br /> Surface Trans tion Assistance ActSTAA trucks <br /> Will STAR type trucks,over California legal length,be used as part of the proposed operation? <br /> Yes❑ (if yes,the applicant must provide a letter requesting desig ration of the proposed facility as an STAA terminal.) <br /> No <br /> AUTHORIZATICiff SIGNATURES <br /> OWNER, OPERATOR AND APPLICANT INFORMATION AND SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> ProveProvertv owner(s) or owners of surface rights-01st all owners <br /> Name: �S/G Address one:ffl <br /> Signature: Date: <br /> Name: I Address: Phone: <br /> Signature: Date: <br /> Name: Address: Phone: <br /> Signature: Date: <br /> Name: Address: Phone: <br /> Signature: Date: <br /> Name: Address: Phone: <br /> Signature: Date: <br /> Note: All Legal owners of the property(s) involved in this project or their legal agents must sign the application thereby <br /> verifying that the statements contained in the application are true and correct. If a legal agent signs the application on <br /> behalf of the property owner,written consent by the owner must accompany the application. <br /> Qvsiners of minerhts ; <br /> Name.Z� <br /> Addres Pho r <br /> Name: Address- Phone: <br /> �pera.0r. <br /> Name: lis , ddress: R( (0i Phone: <br /> Name: Address: Ph - q-pb_ j'so b <br /> Agent of process(person:designated y bot&is.agent#or ttie service process) <br /> Name: goy M P 6g VC-5 Address. U 130y &0 <br /> rgiNC_14 691AP 1 6 9s-7-3 1 <br /> F:IDEVSMPIanning Application Formsl — Page 3 of 18 <br /> rh- de,-_ lRovLGed.04 A1_1M1 <br />