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APPLICATION - MAJOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> At17HdHI21i7idN gtGNA t tiHES <br /> dNLY TN.E dYVNEii OF TfiE VFiq'EHt ti OF3: M1N AU7NOl YXED AdEH 1 1AAY :L, /!, P AAVLtCATlOH <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> RI Legal property owner(owner Includes partner,trustee,trustor, or corporate officer) of the property($) <br /> ` involved in this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's Involved in this <br /> application and have been authorized to file on their behalf., and <br /> that the foregoing application statements are true-and correct.I\\\ <br /> Sgnahre: Date: — Z - <br /> Stgnaeea: v ate: <br /> Sfgnamra: Data: <br /> Signatnra: Dace: <br /> Signature: Data: <br /> A ppl-i G,�r`o14 rva RE-2p,u E Mill o R _-'0$__Dt LJ1 S1a,J <br /> 1� <br />