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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :. <br /> tow <br /> .....::::...:....:.. <br /> YI" N>r. WHA E? . i'Ri)i'>E«i`E"ff; 13 A1#:1tityk:IL1GI 'i' 1'fl,!?iF .11�ip; 1 ±F'Ltd`ILt'EJOi :;»:;:<::::>:<:»::::;:::> <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> KI Legal property owner(owner includes partner,trustee,trustor, or corporate officer) of the property(s) <br /> involved in this application, 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'ioregoing application statements are true and correct. <br /> Signature: ! ,rli /� L"C Date: <br /> Signature: Dom: S/ �/ 5 <br /> Signature: Dom: <br /> Signature: Dom: <br /> Signature: Date: <br /> -5- �, <br />