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APPLICATION - MI, OR SUBDIVISION <br /> SAN JOWUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> y:. <br /> MY f31E <br /> ,,. sat <br /> SIGNATURE: I oertify under penalty d perjury that 1 am (cheok one): <br /> LOPW PrOWtY owner(ow a irmk+des pwuw,tuft*,Vwtor, or oorporate officer) of the property(s) <br /> kwoMd in this sppka n,or <br /> ❑ L09W apsrd(attach Proof of the owrw's oorrwd to the appAwalon of the Property's invotvsd in this <br /> aPPI"Imon end hew been authorised b Ab on thwk behalf.,and <br /> that the torepokv applicagon sutsmonts an true and oonva <br /> slo <br /> sf�ai.r f� <br /> Daft <br /> -5- <br />