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..s <br /> APPLICATION - MINOR SUBDIVISION <br /> SAN JOt QUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> ...:.....:: x f `. •:::r,:::r:%�i::Si:2:+.�r'jio-c..;. �...r....,• .r,,. <br /> :.:i•...,,r.... <br /> { <br /> :....... ............... <br /> rj / .S:" •': "9, fvpffr f�'fjii:';c,Gi � <br /> ,,: <br /> .r <br /> A..... <br /> �fdiNA <br /> SIGNATURE: I certify under penalty of pedury that I am (check one): <br /> Legal property owner(owner includes partner,trustee, trustor, or corporate offlcer) of the property(*) <br /> involved in this application, or <br /> 0 Legal agent (attach proof of the owner's consent to the application of the property's Involved in thle <br /> application an. nave been authorized to file on their behalf., and <br /> that the foregoing appi.:ation statements are ; And correct <br /> - LQ` _ /Z <br /> �� <br /> - Qf1O: <br /> Sbwummrqr DffW <br /> Dabs: <br /> -5- <br />