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11/02/99 TtTE 10:45 FAX 209 249 2210 MANTECA LOANS. <br /> Z002/005 <br /> 1E/26/1999 15;04 209539 GEOLOGICAL TECH S PAGE 03/x3 <br /> • r GMEN FORM <br /> MASTER FILE RECORD INFORMATION "MFR" <br /> 10-26-1999 UNIT IV <br /> 6NWin uc►s saw!MO u.a Dmi <br /> OWNER FILE <br /> Ct`rEOKrF OWNE!a rirrl►RrerraYONFIIffWIrMEFID <br /> COAI THE FO"OwmaPROPERTY OWNER INFORMATION: <br /> PROPERW DeGroot Pk°"E 209-47'1 -1787 <br /> l ,Terry <br /> OWNLR NAME <br /> RV Mf <br /> �+ s0C3CCITAkIDtt �� _ aODvbZg <br /> aRUenaEae NA Z <br /> �. DeGroot & Sons a C Zifornia Ge <br /> 908 Eliby �O N pQwEh'91IC61r56! D V C► O$S [ <br /> Owner Home Address V IV <br /> t3TaTe Lr <br /> atv <br /> Ripon, p c-� <br /> state C� alp Cq1 5 -3(,6 . 2 ZSg <br /> I Mailing kWrae Qky 0 <br /> RrosuTIOM❑ <br /> No <br /> nn <br /> a,sC1 PAISTMIIIW►rl�x Fm AGENOY❑ TT1ER <br /> FACILITY PILE <br /> I IBM Him=�,+ps�MTHE�OwrArO BUSINESS I FACILITY 1 till IMPORMATIVN_ <br /> ;s ter®a NEW"mega 1.00ATION not previously repulsted by thn ENVSKourMru_Hg LT4 DIVOON 4 YIM NO <br /> YR No <br /> ,altos an eumNe BUSUwoa LOCAT"batt a NrwlYPE of reautoted Bwlnoaa? <br /> Bu>urn-ssJFsoi►.n^rlSrte N�6 _ �(�� r—� <br /> BIT�Inft Surae Swaimt;aaPNorre <br /> 7 South Airport Way (APN#1 98-03-3) Z 0cl <br /> •-- ..... ..� STATE�� zip <br /> C 95336 <br /> Cm -Mantecammonummasm <br /> I <br /> MaRin9 Addraaa 0DIFFERtNT ftom FivlllfyAddress Atterrtiarr of Om Of(opdarreQ <br /> GTATG Zip <br /> ldailing Address City <br /> , <br /> w <br /> TtiUM Pl1WY BILLING INFO, Complete if Billing PArty is dh%muf7t"m Property Owner orFacility Operator isle htffedabot e <br /> BUMESSNAUF Attontian: or Caro Of (00OW9 <br /> PHOtr£ <br /> � Me!Il►Ip llddraee <br /> _ $TATR ZIP <br /> E 6ccoulvrA2OREgS for fees and Charpda OWNER FACILITY11RUSlKK" TttIRD PARTY B1LilN0 <br /> Hru n+r uan Cri►fn uxec A nurowt t DA.rrf�iC L The 0114ert4od AFp5umk wd@'&at I'm the(Nwno,Operator,or AAd&r4MdAtarf of tt*Bo incts,■od T admowledge Chat zll <br /> pm&rPSrs,pmaLnzr,,EvrmcoaMrCm4h=andlor)70u trLmwz uaodtud wkb Alt's opcntcon wM be M[1nd to weft lila addras I imMd above as the ACW0HrAL1Dla8Sf <br /> for*13 slit I aw certft mgtaB totbranna provided o■mi,*Whmtiou h Cue ad oorreett and that mill regotat d aai ltlm wM 6 pwhfmad M a000rdaKewitti ati 11ppimbic 5u+ <br /> JaAouv Cptlm Ordinance Codes and/or Standif U and STATE malar FmDwm Laws and Regala&Q& Al the onderdlgaed pwntr,Vpet miter,or"wt of Che property larsted at rLe <br /> above ha9tprI addiwa,x bereby aaorerim arc rdeau of a"IM AS rcm,tts and unirowmW aMeleoxnt injonaaI to BAN JOAQUIN C,OUM IN'vMONMIDN'AL <br /> FIF-Af-7M))IVIBfON er AM&ao M IS available and at tete artxe Hsno k is pt'oV"m me or my rrPMt11b9vL _ <br /> -PLEA t:PRir <br /> APPUCANTNAME' C, DeGroot,& Sons StGNA It ,._T <br /> DRiVER'B UGENSEI � o a• 8 O S � I <br /> TITLE Partner PpwdroaoMr rOLURh¢L <br /> .e <br /> � •d • •wog� wdLE°e s66 l-5�-01 <br />