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APPLICATION - SITE APPROVAL <br /> PRIVATE RIGHT OF WAY -ANTIQUATED SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTWIRIZAMIN WGMATURES <br /> ONLY THE OWN--R OF THE PROPE M OR AN AUT Of17 MO AGM MAY FILE RNO APPLiCATMN <br /> SIGNATURE: 1 certify under penalty of perjury that l am (cheek one): <br /> Legal property owner(owrw includes pwtrw,trtmee,trustor,or corporate officer) of the property(s) <br /> involved In this aWicaboo, 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 fib on their behaN., and <br /> thea the foregoing application statements are true and correct. <br /> sem: Doc 5 —2 — I C1 cy 5 <br /> Sigiriatrare: Doc <br /> Sigrollare: Doc <br /> SlOreeue_ Doc <br /> c DOW <br />