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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> .. ....... . <br /> k ..: <br /> ::..:: :: <br /> A#llu N+ l ) D�t ENT: JfA'Y Ftt:Aft ..:< : <br /> SIGNATURE: I certify under penalty of perjury that 1 am (check one): <br /> )ty Legal property owner(owner includes partner,trustee, trustor, or corporate officer) of the property(a) <br /> involved in this application, or <br /> O Legal agent (attach proof of the owner's consent to the rpplication of the property's Involved in this <br /> application and have been authorized to file on their behalf., and <br /> that the foregoinq application statements are true and correct <br /> a <br /> Daft: 6-15-92 <br /> ^ <br /> Daft- 6-15-92 <br /> Sllgrwture: Dada: <br /> Signn+re: Date: <br /> Signature: Date: <br /> Prepared by : David Simpson 6-15-92 <br /> �— -5- <br />