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APPLICATION - QUARRY EXCAVATION SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT APPLICATION FORM CONTINUED .: OWNER, OPERATOR AND APPLICANT INFORMATION AND SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. - w _ Property owners) or owners of surface rights (tW all owners) Name:A.A•¢ Qo)J 'I11c Address: 6e Q �Nnte S*04-fCtJ Phone JLL9 - Signatur .� -•� ,� _.531� Date:�r�^, ,„�' ,i Name: Address: Phone: Signature: Date: Name: EE] Address: Phone: Signature: Date: Name: Address: Phone: Signature: Date: Name: Address: Phone: Signature: Date: Note: All Legal owners of the property(s) Involved In this project or their legal agents must sign the application thereby verifying that the statements contained in the application are true and correct. if a legal agent signs the application on behalf of the property owner,written consent by the owner must accompany the application. -- -71 Owners of miners[ti#tffi Name: Address: Phone: Name: Address: Phone: or' ;:::::::......... Name: Address: Phone: Name: Address: Phone: AijkwrtofP by operator as agent for the service process) Name: Address: -3-