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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> 1►iIE1�1bR17A�'fOir#5ttr31hfA'Y13t�8. ; <br /> ONLY THE: OF,'M15 pmmm#3t�Am .....................lIU4�f�Y1 E IM1t3A�'a�.1CA11[lN. <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 fib on their behalf., and <br /> regoing application sWemertts are true and correct. <br /> 7=1" <br /> [how1139�Dow <br /> SIW-MA-- Datec <br /> Signature: DOW <br /> -5- <br />