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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :::: .. .::..:::.. AU7EithtlLlk. tQNA'CCiq�S <br /> �lH ApF'!. 'C1 <br /> en: NRC `' l'YfIF. :::: : ; <br /> ..........._.....:..:.:.:.:o1N1.'Y.;YH . �::....:.::::.:;:� :>;::;.;: <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 authorized to file on their behaM., and <br /> that the foregoing application statements are true and correct <br /> Signature: %Z <br /> Signature: <br /> Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> -5- <br />