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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ..:::.,::.:5;2:::i.:2;R:ik<<;.::.. y.9'• ."•'".2J' •.a?o`y+'v: :c:%u7%; >Y s. <br /> AII�HQRf7�iT141J Sl{iNATC ` :':' 3fiy`t^f r#:;?f :Md? ✓'' .:1.{> <br /> LY HEOWNM OF T"E i'ROPEFt'F'1t.IJ69 AN AU'r RUED AGIENT MAY Fit.EA.ND APpL1GATION, <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 file on their behaN., and <br /> that the foregoing application statements are true and correct. <br /> Signature: /� Date: <br /> A <br /> Signature• /J <br /> Signature. [ Date n — o-- <br /> Signature: ! Date: <br /> t � <br /> Signature: Date: <br /> -5- <br />