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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ...... .. .....:. <br /> ........:J:"......'fry};4}:':: •i?:iii:<•::ii}x: .:::::::::.ix. <br /> ........ :...:n...............•.::.n:.:.. ........ ..... <br /> .... :...::o;_.':.::::::::. .... .. .............::::::::::......:•... ... •}\ fi:,_ti;r;>:3t?;E3'•?,>.... <br /> i <br /> w <br /> :..... ........::::.�::..:::::.�::.�::.�::�::::.:::.�::..w::.w::.>•tt;•::::::.�:.v.�::NY:i37V�'pLA27VJ��:i{WIM. :Y!{�6Y.xto.v nk•\�.:.:w::?:}i}:ttL}}}}}:i>}:!�ii?i}}:xi•::tr•�•:r•}}?:ti4:•}}:•?!:v <br /> .. :.�:.:::•.�:n;}:}::::4:is v..i3:::.i'. v:'�:. � ,.:... I.XXp <br /> t•:\isii:?�iiiii3..........?:: jiiiiiii;:};::;i<: 'ii:t•iii}}}}i;}}}}?}}}i}}} ......}i}i?:: ::i:ii: <br /> :ll.:.�.}fr�y�t.y.::�;.. �t/t�l.::'o•:::y::}.:>�'.y '.:'::�.:'�.:t:.:;.>:.>}>:.>:.;:S::ii::�r>:s>?:.»^>:: :�::�: <br /> ::t�7Fii/�iwTwFR'�RF ii�FC<{'F�1� ij 1/liJ 'fA�/7, .,,.Ti •PffJAM W"ANfl'7{T <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 authored to fib on their behalf., and <br /> X Lesee ( a copy of the lease form is attached) <br /> that the foregoing application statements are true and correct <br /> 'w-- Data O -•/ E <br /> g DOW <br /> Dow <br /> S§Wmkm DOW <br /> Slignaftim Doris: <br /> -S- <br />