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SU0010412
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1500029
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SU0010412
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Entry Properties
Last modified
11/21/2019 10:06:11 AM
Creation date
9/4/2019 10:12:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010412
PE
2622
FACILITY_NAME
PA-1500029
STREET_NUMBER
11955
Direction
E
STREET_NAME
BAKER
STREET_TYPE
RD
City
STOCKTON
APN
08916039 40
ENTERED_DATE
3/6/2015 12:00:00 AM
SITE_LOCATION
11955 E BAKER RD
RECEIVED_DATE
3/6/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\B\BAKER\11955 see 12133\PA-1500029\SU0010412\SURV MEMO.PDF
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EHD - Public
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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO.: MS- <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION <br /> I,the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> from any claim, action or proceeding against the Owner/Agent's project. <br /> I, further, 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 owner of the property(s) <br /> involved in this application and have been authorized to file on their behalf, and that the foregoing <br /> application statements are true and correct to the best of my knowledge and belief <br /> Print Name: Andrew P. Solari Signat e: �'�'L�%`bnq Date. <br /> Print Name: Kethleen A. Solari Signature: Date: 1 <br /> r rr <br /> Print Name: Peter G. Katzakian Signature Date: <br /> 'n � <br /> Print Name: Emily K. Katzakian Signature:- �@ i✓Date. t <br /> Print Name: Signature: Date: <br /> Page 4 of 4 <br />
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