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APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> xx <br /> .:,EiNE1LT1EE R OFTHE P. Eil Y:OFA'AI hLIFHt3F IZED:A[4EN71iAAY.FSE`A1VD PPF�CATEOt� <br /> oWNi: <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> lx Legal property owner (owner includes partner,trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> [3x 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 are true and correct. <br /> z <br /> Signature: <br /> Signature: Dale: <br /> Signature: Daft: <br />