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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ' 11f:FTHt7T�tY1Ctl S1tcONilTilCZE8 <br /> oNLY.THE OWNEHOrTHE AND APPUCAWK <br /> SIGNATURE: I certify under penalty of perjury thud I ern (check one): <br /> ❑ Legal property owner (owner includes partner,bust", trustor, or corporate officer) of the property(@) <br /> Involved In this application, or <br /> 11 Legal agent(attach proof of the owner'•convent to the application of the property's Involved In this <br /> application and have been autirortred to flie on their behalf., and <br /> that the for oinQ ep 0 ere hue and correct <br /> Dare October 1, 1993 <br /> sipr@eb.iK Dsuc <br /> g DOW <br /> slorlabuM Dmw <br /> (proof of owner's consent will be submitted via fax) <br /> -5- <br />