Laserfiche WebLink
rt APPLICATION - USE PERMIT <br /> ttnN JOAQUIN COUNTY COMMuNm DEVELOPMENT DEPARTMENT <br /> HIE NUMBER: UP- <br /> Oatsr <br /> OasOAbs Meme dtiabrloel a Inareet a waeYrke or <br /> S WA'i ✓ld�JSL T <br /> orGbOrd"W droUeadWeuon a notsa arc.: <br /> I>wcAtaaa calf soused d bt or 06 <br /> t <br /> AIZA <br /> Dambe <br /> Deeulbe a on.sim a saws d o e. . <br /> _ f d then W A be OatreO the .rasnbam d hovel unlfe <br /> N <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AU7 ORtZED AGENT MAY FILE AN APPLICATION. <br /> #* Owttu/AQant spree, b defend, inda+�y, and hold h&rmba the County and b agents, oilbers end <br /> e <br /> PIDYsae from any ckh,action or prooseci tB ag&k*ft County arlekllp f m the Owr*dAgWs pro)act <br /> I.fuller' 0emy under penalty of Padurr Mat I am(check onsk <br /> Dd Lepel FOP"owner(owner bdudes partner,bust",trustor,or caporals offim)of the pmpmVe) <br /> kmWd to this applicom,or <br /> ❑ Lapel agent(attach PrOW of the owteta oorraent to the appdkafbn of the property's Involved In Mh <br /> appNadbn and have been authortaed to file on their baba@.,and that the torepotnp eppoc"m otaternants <br /> ere he and coned <br /> PrW Nerrw: ') f�J <br /> - --=-— here: S-f-i Z <br /> Point Name: `! <br /> Data: <br /> RIM Nano: <br /> Print Nemo: agrwes: <br /> Data: <br /> Print Name: cgtatare: <br /> Date: <br /> F]DEVaVCV%mN Appkx*an Fo mpyn rw (R&AM 02-Mio) Pape 5 Of 9 <br />