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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> <:att[�t�I=ttrAtlok s1olArUhEs% �, ; � �:-; <br /> ONLY 111E aWfiER:(j..7H ({pP�fiT�r:OR itt ligov ZEC1AtlENT MAY FILEAND APPLICATION. <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> ❑ Legal property owner (owner Includes partner, trustee, trustor, or corporate oflicer) of the property(s) <br /> Involved in this application, or <br /> Cl Legal agent (attach proof of the owner's consent to the appllcolion of the property's involved in this <br /> application and have been authorized to Ille on their behalf., and <br /> that the foregoing application statements are true and correct- <br /> Signature: �_. `� —��, <br /> 5 date: <br /> Slgnalure: fate. <br /> Signature: Date. <br /> Signature: date_ <br /> Signature: �� <br />