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I • <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> CZA°I'I <br /> SIGNATURE: I certify under penatty of perjury that 1 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 behaH., and <br /> that the foregoing application statements are true and correct <br /> SkIpwiture: Date: - l�3 <br /> s4nnhne: Dab: <br /> fie: Date: <br /> SlIgFURU re: Date: <br /> Signature: Date: <br /> -5- <br />