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APPLICATION - WAR SURD <br /> IVISI®I"v � <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :......:::::::.:::::..::::::::::.:.: <br /> ...:::..:w::;:•:::nom::v::::::::::.�::....:.... <br /> ..........:.........:::.�:..:::::::.. ... ....yr ................... ..... <br /> i4Yi:iii::•i:4}i}:i::4iiii:.::1'::: ......::•.:............. f.:�{:}::::i:;:i<:'::iiii::�:viiiiii:�i1:C�..:,,,-.....v........................:::...........:::._:::::::.�.......................... <br /> :::.;::'.}':-:.; :.:....:..:::::::3i".i:::::.::::?..��:.-:!.}:::ii:}::•i:;(.:^'i:'<^?:>': :.i?i:?::::i:.::j':!i::i::?':'ivi%::::ii'r:::::!:;::::i:aii:S:<::: <br /> SIGNATURE: I certify under penalty of perjury dim I am(check one): <br /> XLegal property owner(owner Includes partner,trustee,trustor,or corporate officer) of the property(s) <br /> Involved In this application,or <br /> D 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 /> eo <br /> e: w <br /> Skpmfl re: D+a�ec <br /> fie: QaOa: <br /> Qa7� <br /> -5- <br />