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SU0012896
EnvironmentalHealth
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2600 - Land Use Program
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SU-97-1
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SU0012896
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Entry Properties
Last modified
1/15/2020 10:44:42 AM
Creation date
9/4/2019 10:56:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012896
PE
2611
FACILITY_NAME
SU-97-1
STREET_NUMBER
3563
Direction
E
STREET_NAME
CARPENTER
STREET_TYPE
RD
City
STOCKTON
Zip
95215-
APN
17908257
ENTERED_DATE
1/15/2020 12:00:00 AM
SITE_LOCATION
3563 E CARPENTER RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\C\CARPENTER\3563\SU-97-1\MISC.PDF
Tags
EHD - Public
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APPLICATION - <br /> MAJOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHOR IZATION`SIG NATURES <br /> ONLY THE OMER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN:APPLICATION.. ' <br /> I,the Owner/Agent agree,to defend,indemnity,and hold harmless the County and its agents,officers and employees from any claim,action or i <br /> proceeding against the Owner/Agent's project. <br /> 1,further, certify under penalty of perjury that I am(check one): <br /> 0 Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and <br /> have been authorized to file on their behalf.,and that the foregoing application statements are true and correct. 5 <br /> I <br /> Print Name: TnAI o Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date, <br /> h <br /> i <br /> I <br /> i <br /> I <br /> i <br /> i p <br /> { i <br /> 1 it <br /> I <br />
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