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APPLICATION - MINOR SUBDIVISION <br /> AN <br /> JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> `':^://'/fi %/%j' :�/...,•::::::.;... <br /> i <br /> /` .////'l/:.::ii:�Y+ii:ili:.ii:i:i�:•iii':.ii:::::::::::::::::::: <br /> / i�l►tfTWOAIZA'f10N`SIGiNATUREs < <br /> /` . / }'�O<�[a'TY OR Ai'J AUTtOW1ZED AC3�NT MAY�11.�ANS Atj�UCAYION, ,;.. �'� <br /> SIGNATURE: I certify under penalty of perjury that I am (chock ono): _ <br /> ❑ Legal property owner (owner Includos partner, Irusloo, lruator, or corporate olllcor) of tl)o proporty(n) <br /> Involved In this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the proporty's Involvnd !n lhi: <br /> application and have bona c-..`thcrized to file un ihoir bohaff., and <br /> that the foregoing application statements are true and correct. <br /> Signstture: Date: 23 h UGr 3 <br /> Sipnatwe: Date: _ <br /> Sigru tore: Date: -- <br /> Signature: Date: _-- <br /> SiWwbxe: Date. <br />