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SU0004593
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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SU-00-01 (TE)
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SU0004593
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Entry Properties
Last modified
12/3/2019 10:10:47 AM
Creation date
9/4/2019 10:35:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004593
PE
2622
FACILITY_NAME
SU-00-01 (TE)
STREET_NUMBER
13751
Direction
E
STREET_NAME
BRANDT
STREET_TYPE
RD
City
LODI
APN
01906029
ENTERED_DATE
8/6/2004 12:00:00 AM
SITE_LOCATION
13751 E BRANDT RD
RECEIVED_DATE
8/4/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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Supplemental fields
FilePath
\MIGRATIONS\B\BRANDT\13751\SU-00-01\SU0004593\MISC.PDF
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EHD - Public
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' . n <br /> .37 <br /> APPLICATION - MAJOR SUBDIVISION <br /> F; SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THF PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the Owner/Agent agree, to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any calm,action or <br /> proceeding against the Owner/Agents pr%ct <br /> I, further, certify under penalty of perjury that 1 a►n(check one): <br /> Lege1 property owner(owner Includes partner,trustee,trusfor,or corporate officer)of the property(s)Involved In <br /> this application,or <br /> o Legal agent(attach proof of the owner's consent to the a llcat of the property's Involved In this <br /> have been authorized to rile on their behalf.,and that the for application and <br /> of p!!ca statements are true and correct. <br /> Print Name: �S� Z� �ST�/U `ice <br /> -y— ignature: <br /> Print Name: L. �-� Date: 7Z 'q <br /> Ck- Signature: <br /> Print Name: Date: c-R <br /> Signature: <br /> Print Name: Date: <br /> Signature: <br /> Print Name: Date: <br /> Signature: �~ <br /> Date: <br /> e <br /> . f <br /> d <br /> P <br /> F <br /> 3 <br />
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