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LOGE Project Number: 2216 Page 7/7 <br />SSCR Questionnaire: Holfman, 7272 Lathrop Rd., Manteca <br />ENDORSEMENT: <br />As the present owner of the property (or the authorized representative of the owner), I am familiar with the <br />operations presently conducted on the property, and hereby certify that to the best of my knowledge, <br />information, and belief the information disclosed above is true and correct. <br />�l�I2G�Z- <br />Sig�ure A date <br />Name (Please Print) <br />no n <br />Relationship to property <br />Contact Phone Number () (- 94to <br />