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APPLICATION - QUARRY EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> APPCATION FORM <br /> ' LI;.• pptyTINU�D , ,... <,; 1 %moi ,,:, <br /> pWNERr OPERATOR ANP APP4ICANT INPOFtNtaTloN pryp S1crygTURES -' <br /> bNLYT1 E OWNER pP THE PRp0ER7Y OR AN AUTHQRiZED At3ENT MAY FILE AN APPUt 1471pf ` <br /> Propatiy ownor(s�o!""ars otaurtace r(gh1t:{Ilsieil'ownersl <br /> Name: Ma_ Hartman Address: P 0 Box 2086 Phone: 466-3083 <br /> Signature: <br /> Stockton, CA 95201 Date: <br /> Name: Address: Phone: <br /> Signature: <br /> Date: <br /> Name: Address: Phone: <br /> Signature: <br /> Date: <br /> Name: Address: Phone: <br /> Signature: <br /> Dale: <br /> Name: Address: Phone: <br /> Signature: <br /> Date: <br /> Note: All Legal owners of the property(s)Involved In this project or their legal agents must sign the application thereby <br /> verifying that the statements contained In the application are true and correct. If a legal agent signs the application on behalf <br /> of the property owner,written consent by the owner must accompany the application. <br /> 0whtrrs of mineral turfs <br /> Name: Margery Hartman Address:P 0 Box 2086, Stockton, CA 95201 Phone: 466-3083 <br /> Nam e ��-- -dry Address: Phone: <br /> Opo►&tor <br /> Name: G ite Const u on C Address: P 0 Box 151, Stockton, CA 95201 Phone:982-4750 <br /> Name: �iy}(,�IJ _ Address: Phone: <br /> Agent of process(person designated by operator asagent,far the service.process)._. - <br /> Name: James H. Essick Address:p 0 Box 151, Stockton, CA 95201 Phone:982-4750 <br /> Note: Margery Hartman is Attorney-In-Fact for McGah-Peterson <br /> -3- <br />