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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> r : <br /> i AUTt!()WZATION ISIGNATURES <br /> O�i1.Y TNI QWAf Ei 1 F'RC1I 71f.OR M Alli# t�IHt t?AQ X11+flit AND A?PI.EC.0.'E L?N <br /> SIGNATURE: I certify under penalty of perjury that I am (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 /> fie: /Ltw.�t — -+'_ Date: �7 <br /> Date: <br /> SlIgnaftre: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> -S- <br />