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APPLICATION - QUARRY EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> APPLICATION FORM ; <br /> CONTINUED <br /> OWNER, OPERATOR AND APPLICANT INFORMATION AND SIGNATURES <br /> ONLY THE OWNER OFTTHE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> Property owner(s)or.owners of surface rights(list all'owners)`Y <br /> Name Address: ��� r Phone: ; �. <br /> Signature: <br /> Dotc <br /> Name: Address: Phone: <br /> Date: <br /> Signature: <br /> Name Address: Phone <br /> Dote <br /> Syneturr. <br /> Nome Address: Phone: <br /> Dau: <br /> Signature: <br /> Name: Addnss: Phone: <br /> Date: <br /> Slgmrturt: <br /> Note: All Legal owners of the property(s)involved in this project or their legal agents must sign the application <br /> thereby verifying that the statements contained in the application are true and correct. If a legal agent signs the <br /> application on behalf of the property owner, written consent by the owner must accompany the application. <br /> Owners of mineral rights <br /> Nome.. Address: s <br /> r Phan.: S 9 AZA <br /> Nome Address: Phanc <br /> Operator <br /> N.me i � ,- � � Address:�����1 ) J :,i ;� t ✓ C( 41:14 <br /> Name Address: Phone: <br /> Agent of process(person designated by operator as agent for the servfc4gmi ";.4 <br /> N.M. Address: ' <br /> c <br />