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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> INK <br /> ..:.r <br /> .................... <br /> .................:::...... <br /> �.�:.........::•.:::..........." ::::::::k.::r ,.::is ::: <br /> Jur:r4:4i;:;•:j;.}'•:r::i:•.iiJ::n::.r.•n..:.::.::r?n:;•;::: <br /> ;�rrrr r>:••:;rr::sr <br /> ...::.rY >. Iw l::0. <S#1J't3+d!I :A I I'E?:I �E::f!# 1Cisp<A}?:: ,E?t?N::rrr:::.:;r:«<=.?.....<.:::>::>:<^:«:> <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 /> 0 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 /> / 7 <br /> Signature: Date: <br /> Signature: Data: — <br /> signature: tu 1�-. t '.�. D.W. <br /> Signature: Date' <br /> Signature: Date: G 9 v� <br /> -5- <br /> r <br />