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APPLICATION - MINOR SUBDIVISION <br /> SAN JOi'.OUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> {}:%� >i':�:�ni:4:Y'<tik!i•ih;}'��!%lil'�<,ti�.j,[,�y,.'O:j:+::.:.:.::Fi}ik:{:n:;{f�...�r}:;.....y.: Jam.. <br /> n. <br /> • .:.: ::.: ...N..A}..::>:�:: ss>>.:'::>:/�� AlJi7�llOgl�'1t'!� KA Ei�t: � .:.,� • <br /> yti <br /> };>.} }rd•' �:::i::i�+•:+F.4'•i:ii':':::i:;}:.:yt.}i'•}:•}}}}}i>}:::{•.}}:•:}}•:..}}:::::::::i.Y•%'•:.::.::..;........ ... •::•:::.. ... <br /> .� .. x;:/.::::f..::::ii.�.;.:::/,�}}.}/.}�}y}s�:;•}tl}l�:y.��.}}}::f:c':�.:.::}}}:�:"#3�in:,':":::}%V�• F3:' xnia`i.:ii•`.•:.kb':E: <br /> • .•. <br /> .fin', 'Sf:;.`: �.Ntt�i.i}.':l:�i�::7�F.tRnFR:'Nf�i: ,.:�• .y'`'.,•<:f.t....... .� ,�, •�.•�{:• �:•1;�.. yk;.. . <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(s) <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 an,+ nave been authorized to file on their behaH., and <br /> that the foregoing appli::ntion statements are t xnd correct <br /> D.a: _ Z <br /> Dots: <br /> Dote: <br /> r Dots: <br /> SlIgnshww. Dot.: <br /> i� <br /> a <br /> f� <br /> ;i <br /> �i <br /> 'r <br /> tl <br /> -5. <br />