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APPLICATION - GRADING EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :::........................... <br /> W'1 bF fHE PARER f Y SDR Ate Al FHf �D Afl `M1�Y# E i[N l°�Ca ' .: ..::.;:.::::..: <br /> SIGNATURE: I earthly under penalty of perjury that I am (chock one): <br /> 0---- Legal property owner (owner Includes partner,trustee,trustor, or corporate officer) of the propertyM <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 /> that the foregoing application statements are true and correct <br /> ✓� <br /> Dab: <br /> Signature: r l r��, r" Data: <br /> Sona ": Dab: <br /> fie: Dab: <br /> Signature: Be": <br /> -6- <br />