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APPLICATION — SITE AsPIPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ...............................::::::::.......... <br /> J�. <br /> H...... ........:: <br /> <>;::::<:''s,E:.>:::::>;# 1•..:7N 11 1 t OF:; }lE#R P€RT1r? RAti AitFliGfR12EBAX. GEtaT MhY.Fitg:hNi3 i3CAT10N <br /> SIGNATURE: 1 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-authorized to file on their behalf., and <br /> �h��he oregoing a plication statements are true and correct. <br /> 1 �' % i• � �f� 'J Date: L/ -� l' <br /> s� Date: <br /> Drte: <br /> x Date: <br /> S10nahrw Date: <br />