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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> I� AUTttt?i1f7Jt'f'i6M5lt3NAT13RES <br /> tNt�Y CkFE OWN"9F M VftftTY ft AM AUT}It1Al2�D Ai�I»NT#AAY�"!EJ"AND Af+P!ICA1IQti . <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> $j Legal property owner(owner includes partner,trustee,trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> 7 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 Meir behalf., and <br /> that the foregoing application statements are true and correct <br /> Do, C7 T <br /> S111111111111111111W DoW <br /> sfgn+.c Drc <br /> s�vm�c D.ac <br /> steam.« Dabic <br /> -5- <br />