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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ..............fi:: :::.:v.,v:C:iii:i::),.}`,♦. \.r.♦••S:n:vi♦.♦:::::<: .. ..'� :2:: <br /> Xii <br /> 11,NO W-1 .1w ------------------------- ........... <br /> SIGNATURE: I certify under penalty of perjury that I am(check one): <br /> ❑ Legal property owner(owner Includes partner,trwtee,trustor, or corporate officer) of the property(s) <br /> Involved In this application, or <br /> ❑ Legal agent(attach proof of the owners consent to the applk lion of the property's Involved In this <br /> application and have been authorized to fila on their bei-!`., -n:. <br /> that the foregoing application statements aro true and correct <br /> SiwrrOre: L DMOK <br /> Siprmdrre: DOAK <br /> Signafara DmK <br /> Sure: Dm1K <br /> -5- <br />