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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> SIGNATUM: I certify undeh penaky of perjury thst i am(ctrook one): <br /> X" Legal phopeiV owner(owner indmiab partner,ftmea,trustor,or oorporwe office*of the property(s) <br /> involved in this application,or <br /> ❑ Legal agent(attach proof of the ownees consent to the application of the property's Involved In this <br /> application and have!aeon authorized to file on their behalf.,and <br /> ffia the foregoing application staternenfs are true and oorrea <br /> ` skpmojm KIM= 17! q( <br /> skpmbm DMOK <br /> DWK <br /> sitilmdum Ddw <br /> IA ? <br /> -5- <br />