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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ,„AGT}i17RYLtT70N 910HAYDRE8 <br /> f1WNEA QP THE PROPERTY 044 AN AUTHGR¢EU AGENT IAAYFJLEAN"DAPP'UCATWN.„.,l' n <br /> GNLY71�„ <br /> SIGN4 RE: I Certify under penalty d penury that I em(check one): <br /> ❑ Lepel property Avner(owner Includes partner,trustee,trustor,or corporate officer)d Na property(s) <br /> ImoNed In this applioedon,or <br /> Legal spent(sttech prod of the owner's consent to the application of the property's irrvotved In ihls <br /> application and have been authorized to file on thelr behalf.,end <br /> Met the foregoing applloatlon atudementa are true and oome <br /> sq.b.c fit`"v� ' Li— <br /> Will Dr.c <br /> slava . D.sc <br /> sfprabea: D.ac <br /> sipumac D� _ <br /> -5- <br />