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APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION S11G ATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AND APPLICATIOM <br /> F1--1------ <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 /> Date: _ <br /> Signat we: Date: <br /> Sirs: Dale: <br /> Sigrmdum: Dab: <br /> Signatme: Date: <br />