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APPLICATION - QUARRY EXCAVATION <br /> SAN JOAOUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> APPLICATION FORM <br /> CONIINUED <br /> OWNER OPERATOR AND APPLICANT.INFORMATION AND SiCNATURES � <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> Property owner(s).or owners of surface rights(gst ail owners) <br /> Name: GaEc' IIbwz a w3 Address: &,K. IS-/ Com, Phone: 46S, <br /> Signature: Gj J 2- Date: g I'3f 19 <br /> Name: 'R� Address: Pe \5ox- I3 s . J,,-r Phone: ((.y;_ ,4i <br /> Signature:(21-"X0 ;2 7 Date:61 3j 1 g <br /> Nema: Address: Phone: <br /> Signature: Date: <br /> Name: Address: Phone: <br /> Signature: Date: <br /> Name: Address: Phone: <br /> Signature: Date: <br /> Note: All Legal owners of the property(s) involved In this project or their legal agents must sign the application thereby <br /> verifying that the statements contained In the application are true and correct. If a legal agent signs the application on behalf <br /> of the property owner,written consent by the owner must accompany the application. <br /> lHvners of mineral r4oft <br /> Name: £c- Z Address: ,(J, k j am/ Phone'�L,5 -t.'- &f <br /> Name: - d &J Address Q 131 7l(� 513 <br /> Operator <br /> Name: iqo M e. e: > Address: 190,j bV F N �-'l✓ jfo Phone:�/1i <br /> Name: Address: t!/�1 , Cy,s 23/ Phone: <br /> Agent of p- (pets designated by epwgwes agent fw the service per) <br /> Name:&2y Kc EUs Address:Pc� 13es1C l� � ,� (A 2L hone , V� .. <br /> �PSbtlr (y. <br /> — <br />�I >• I <br /> h <br /> i <br /> 4 3. i <br />