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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> l <br /> A1,1THORiZATION 51 NATURES <br /> ONIYTME OWNER OR THF,QTY bIf AN ALTH()RIZED ADENT MIAY FILE ANO APPL.IC.R 7 0N. <br /> SIGNATURE: I certify under penalty of perjury that I em (check one): <br /> 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 foregoing application statements are true and correct. <br /> Dene: i <br /> 7,7 <br /> K Dena: <br /> silli Data: <br /> tea: Dena: <br /> fie: Date: <br />