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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ..,.:x ::, CNS .: tT1F � tkili11ltYiIlA11JtItNtYC Yit � :. <br /> SIGNATURE:_1 certify under penalty of perjury that 1 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 boon authorized to file on their behatl.,and <br /> that the foregoing application statements we true and correct <br /> s+yne�n: Deas: <br /> Sgnea■e: % Dam <br /> S$W : DwW <br /> Sfgnanae: DvW <br /> Slgr%."e: D�tx <br /> -5- <br />