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APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> At173fURt A7€0!^t <br /> .... ,., <br /> ONLY THE t3WA1EH OF THE PE3t3PPR3Y otj A?e X 13'3"di p At Vfy MAY FAA. AND APPi.ICA7iQl�.X <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> ❑ Legal property owner(owner includes partner,trustee,trustor, or corporate officer) of the property(e) <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 this <br /> application and have been authored to file on their behalf., and <br /> that the foregoing application statements are true and correct. <br /> = I 110, 1 <br /> Dam Z/ <br /> %grurbim <br /> Dols~ <br /> Signature~ <br /> Dade: <br /> Dow- <br /> Dow <br /> -S- <br />