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APPLICATION - USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> } <br /> SIONATUfiE: 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 /> 121. Legal agent(affech 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 /> Z'p"t„': Data: <br /> Slgr.aarre: Dow: <br /> st�.aasre: Dow. <br /> Signature: Daft: <br /> Sipnatrre: T D.te: _ <br /> ' -s- <br />