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APPLICATION - GRADING EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 7777 <br /> AVTH0P=TI0N SIGNATURES _ <br /> MaERTY OR AN AUTHORIZED AGENT WAY FILE AND APPLIC <br /> .ATI C3N. � <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> 0 Legal property owner (owner includes partner,trustee,trustor, or corporate officer) of the property(s) <br /> involved In this application, or <br /> O 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 are true and correct. <br /> Signature: ( yam pate: rrb — -7 01. <br /> signature: Date: <br /> tea: Date: <br /> She: Date: <br /> Signature: Date: <br /> ss <br /> -6- <br />