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TION - SITE APPROVAL <br /> PLICA <br /> :r,ra ,:n�lO�11N COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ................. <br /> MIC i t7f#t 1'JQ 1`.SIti�RVAt1sliC ::>:::>:::.......: ::::;<:> <br /> .... <br /> G1tdLY rHF i)V iat:f:, f 1.,� i ,arC1E� 1t? 4 J1 A #► l L: :iAA1t: Jt :A1+1 X +t.J. .v ::: ::;;::::: >` <br /> _ _ :...................:.............................::::..................... .................. ......... ........... <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> 6L 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 aro true and correct <br /> Sigremflure: 1 March 17 , 1995 <br /> Signadare: tI <br /> S^,pnature: Dom: <br /> Signature: tkatee: <br /> Sdgnarture: Unto: <br /> -5- <br />