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Body Type of Permit <br />City of Stockton Location and Development Plan <br />San Joaquin County Air Pollution Authority to Construct & Permit to Operate <br />Control District <br />M <br />SIGNATURE <br />I certify under penalty of perjury that I am (check one): <br />Legal Owner(s) (All owners must sign as their names appear on the <br />deed.), <br />Corporate Officer(s) empowered to sign for the corporation, <br />Owner's legal agent having Power of Attorney for this action (a <br />notorized Power of Attorney document must accompany the <br />application), <br />and that the foregoing is true and correct. <br />CITY OF STOCKTON <br />AIL� �J - Date: —ket, 1P, /-Z9 <br />HARRYTW. MONTGO <br />DIRECTOR OF PUB IC WORKS <br />