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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> -- <br /> ,> ;: 'A3tfffZgTfDIbC SIta1VATEiRE <br /> QNLYTk1E OWNED EIF TH iMpEffflFi AN APLICATION. <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. <br /> Signature.,, �� � 1'%x% DSM: �l <br /> signature: c� Date: (11, f <br /> Signature: Date: <br /> signature: Date: <br /> Signature: Dam: <br />