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a APPLIC�KION - AGRICULTUML EXCAVATION SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT FILE NUMBER: PA - AUTHORIZATION SIGNATURES OWNER, OPERATOR AND APPLICANT INFORMATION AND SIGNATURES ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. Property owner(s) or owners of surface rights (list all owners) Name: Greg K.awr 1 n Address: 19511 South Williams Way Ripon, CA 95366 Phone: (209) 599-7137 Signaturg: Date: — Name: ngelina KamperAddress: 19511 South Williams Way Ripon, CA 95366 Phone: (209) 599-7137 Signature: Date:/ —' I? Name: Richard Kamper, Trustee Address: 19511 South Williams Way Ripon, CA 95366 Phone: (209) 599-7137 Signature:-��,,,.- ✓�Z—�' Date: Name: Brenda Carole Kamr, Trustee Address: 19511 South Williams Way Ripon, CA 95366 Phone: (209) 599-7137 Sign atu ' =: u�cz �— Date: /—t8-6-7 gName: Address: Phone: Signatu e: Date: Note: All legal owners of the property(s) involved in this project or their legal agents must sign the application thereby verifying that the statements contained in the application are true and correct. If a legal agent signs the application on behalf of the property owner, written consent by the owner must accompany the application. Owners of mineral rights Name: Same as above Address: Phone: Name: Address: Phone: Operator Name: Address: Phone: Name: Address: Phone: Agent of process (person designated by operator as agent for the service process) Name: Address: Phone: F \DEVSVC\Planning Application Forms\ Page 2 of 2 9 Job No 2005-92 Ag Ex Lot Line Adjustment doc. (Revised 6-4-04)