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<br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT
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<br /> SIGNATURE: I certify under penalty of perjury that I am (check one):
<br /> 1 Legal property owner(owner Includes partner,trustee,trustor.or corporate officeo of the property(*)
<br /> Involved in this application,or
<br /> p 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 /> �- Dam 5 - 7 - 9Cv
<br /> Sigosture: DKW
<br /> Signature: Date:
<br /> Sigrratum: MIA.
<br /> SlIgnab": DOW
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