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..APPLICATION - QUAR Y EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY-r�EVELOPMENT DEPARTMENT <br /> APPLICATION FORM <br /> 1 d -CONTINUED . l <br /> OWNER, OPERATOR AND APPLICANT INFORMATION AND SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> Property owner(s)or owners of surface rights (list all owners) <br /> N.— RMC Pacifi Mtls . I ov•• 6601 Kell Center Pkw , Plea w°"825-426-87 7 <br /> 12 C) <br /> .11•„+ I A1 rFon — — q <br /> N,m <br /> • Tpr <br /> oa <br /> Sry.rtwv: <br /> N.wc A4•w <br /> 0.� <br /> n. <br /> MwY II4u,. <br /> }1/N111/4 <br /> Note: All Legal owners of the property(s)involved in this project or their legal agents must sign the application <br /> thereby verifying that the statements contained in the application are true and correct. if a legal agent signs the <br /> application on behalf of the property owner, written consent by the owner must accompany the application <br /> Owners of mineral rights <br /> N.m <br /> RMC Pacific Mtls . I oaP• same as above <br /> N.m ese.. <br /> Operator <br /> -•: RMC Pacific Mtls . , I a•a•••• same as above '"°^• <br /> Inse• <br /> N.mc AI/.w: <br /> Agent of process(person designated by operator as agent for the service process) <br /> .".. <br /> N.mrt <br /> Add... <br />