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APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> _ nUT140RIZATION SIGNATURES <br /> ONLY TffE OYlN£R OF 71aE Yrs!k'zf:.RTY OF, ANAVT AC£NT MAY FILE AND APPLICATION. <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> 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 behalf., and <br /> that the foregoing application staternerds are true and correct. <br /> Dam: M <br /> Siprabae: Dwe <br /> Signature: Date: <br /> Sigraaue: Date- <br /> Sigrature: Date: <br /> -5- <br />