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APPLICATION - MIN^R SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY VEVELOPMENT DEPARTMENT <br /> . ..: .... :.. <br /> SIGNATURE: I certify under penalty of perjury that 1 am(check one): <br /> Legal property owner(owner Includes partner,trustee,trustor,or corporate officer) of the property(s) <br /> involved In this appik4dion,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 trw and correct <br /> rI o.w s <br /> Derec <br /> Stgnekom pec <br /> S11111111011011111111m Dmiac <br /> slpnetaarc DWK <br /> -5- <br />