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APPLICATION - SITE APPROVAL <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> a c:::::::::::.�,: ..k. ..R•• {./,•Y <br /> �y���+CI <br /> •r <br /> k <br /> 1E ......:..; �.:T:.+.:!T. :�.F.A....I!.�.?.A....!�.�*:!.�!t.!.��.l..1.�.E...':T'•:::A!!�Y...:l:.i.�i.... NY/o <br /> p <br /> i ....... <br /> •.y+ <br /> SIGNATURE: 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 /> O Legal agent(attach 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 /> omwwtw� o.+K - - <br /> siig"rac J c,� o. 1-0-o,-93 <br /> Sgnaunrw Data: <br /> oaw <br /> MARION MIERSMA <br /> JEANNE L. MIERSMA <br /> RICHARD 0. VAN UNEN <br />