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APPLICATION - .i. .AD `1G EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SM VA <br /> ' ...w' <br /> ONLY TH£OWNER OFTHE PAOPER7Y OR AN At7THORRm:At'3i�N'Y MAY F7LE AN)tYAI! <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> )9• 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 behad., and <br /> that the for oing application statements are true and correct <br /> Slgti ii Date: $�1r4 <br /> SW� P Dela: y <br /> slgn.a.c Date <br /> slgn.awC Dale: <br /> Sign.neac Dale: <br /> -6- <br />