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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> t� Legal property owner(owner Includes partner,trustee, trustor, or corporate officer] of the property(s) <br /> involved in this application, or <br /> ` O Legal agent (attach proof of the owner's oonsecd to the application of the property's involved In this <br /> application and have been authorized to file on their behad., and <br /> that the foregoing application statenwmb ars true and correct <br /> Surat Durst <br /> slip-mrc DoW <br /> S%PEWrrx 001111K <br /> -5- <br />