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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> . . . :' .. :::: ..f :.'.''•:•T i"!4::iv';;yf gig, f... !. S ;,. (`, <br /> AI THORIEZA'"ON ilbNATUIi <br /> • �NLY'1'HC bwN��i c7p�H�Pl�Of��EiTY ba;i AN AiJ`k'f+OTil7�t1 At:1�Nr IuIAY T'll.�'lttib AfypUGA71gN ..<... :. <br /> SIGNATURE: I certify under penalty of perjury that I am (chock one): <br /> ❑ Legal property owner(owner Includes partner,trustee,trustor,or corporate officer) of the proporty(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 file on their behalf., and <br /> that the foregoing application statements are true and correct <br /> Signature: <br /> Signature: <br /> _ Dadwc <br /> SipnaUwo: EhaW <br /> UI. %I <br /> I,V!,i r li t Cl:�.I A'. .� J,: .01i: j 0 1 �.(0 I'lai.'� .u.J..�.. 4:0 t <br /> - ' :, <br /> -5- <br /> i <br />