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APPLICATION - MINOR SUBDIVISION <br /> SAN-JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :::; ;>;;:<::::::>. 'C. Ham................ . ......... . .................. <br /> X. <br /> XXX ::1t? p#t t FiCY QR ll1�t At► #AI 1' t�iaQ ..... Y Pit. AHp A ... ..::; <::;.: :.::.;::.: <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 /> ❑ 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 /> Signature Date: <br /> Sig re: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> -5- <br />