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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> M-� <br /> 0.221T10!.-..... ........ <br /> e::IloM.Y WOWWROF IN <br /> SIGNATURE: I certify under penalty of perjury that I m (check one): <br /> 6 Legal property owner(owner includes partner,trust", trustor,or ccrporate 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 we true and correct <br /> slignalluirw k4 - c-( <br /> 0111111K <br /> slignmh�- n , <br /> signauffe: DINCIlac <br /> -5- <br />