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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AU <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 tile on their behalf., and <br /> that the foregoing application statements we true and correct <br /> Signatuinii,: <br /> DOW <br /> 0111111K <br /> D&W- <br /> Sigrude: D&W. <br /> Signatime: Daft: <br /> -5- <br />