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APPLICATION — USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AND APPLICATION., <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 and have been authorized to file on their behalf., and <br /> that the foregoing application statements are true and correct. � -� l,v��7�Z1✓ �L , <br /> —i✓� -2,f G <br /> Date: f nD <br /> tee: G 6 ►� dr Lai=vis �� <br /> Signature: / Date: <br /> Sign mme: T/1 Fes(fcJ/�F/�_ Date: <br /> Signature: Date: <br /> -5- <br />