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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> Y <br /> :. ... 1: .. ....... ... S .....5 . .' <br /> SIGNATURE: I certify under penaty of perjury dim I am (check one): <br /> Lepel property owner (owner kioludee partner,mutes,trustor,or corporal officer) of the property(a) <br /> Involved In this appflaation.or <br /> ❑ Legal agent (attach proof of the owner's oorrent to the epplIcation of the property's involved In this <br /> application and have been audwfized to file on thek behall., and <br /> that the foregoing applicatlon statwrw b an true and oorreoL <br /> Dabc —Cz� <br /> orc <br /> slgMtrc Date: <br /> Sgrsrc Dab: <br /> -S- <br />