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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ...... .................................... ....................... <br /> . .. ........ <br /> PE ffiV.,. WX Ab,1140 A tZE6:At E RT.M"F1 CEAN UAP PLIC-AT.16 N <br /> SIGNATURE-1 certify under penalty of perjury that I am (check one); <br /> Legal prop" 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 <br /> ' application behalf., and <br /> d <br /> a-ri-&K-a—v6 been authorized to file on their be <br /> that the foregoing application statements are true and correct. <br /> Ak <br /> Signature, AV Daft- <br /> on deng <br /> Slgnatulg• � We: 016 <br /> Signature: Dam: <br /> Signature: <br /> Signature: Date: <br />