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SU0004544
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-0200371
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SU0004544
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Entry Properties
Last modified
12/3/2019 11:24:17 AM
Creation date
9/4/2019 11:14:38 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004544
FACILITY_NAME
PA-0200371
STREET_NUMBER
28201
Direction
S
STREET_NAME
CHRISMAN
STREET_TYPE
RD
City
TRACY
ENTERED_DATE
7/13/2004 12:00:00 AM
SITE_LOCATION
28201 S CHRISMAN RD
RECEIVED_DATE
8/20/2002 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\C\CHRISMAN\28201\PA-0200372_PA-0200371\SU0004544\EH COND.PDF
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EHD - Public
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APPLICATION - ZONE RECLASSIFICATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORMZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUT14OR17ED AGENT MAY FILE AN APPUCA710N. I, <br /> f, the OwnerlAgent agree,to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project <br /> 1,further, certify under penalty of perjury that 1 am(check one): <br /> 0 Legal property owner(owner includes partner, trustee,trustor,or corporate ofAcer)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 Ale on their behalf.,and that the foregoing appllcatlon statements are true and correct <br /> Print Name: Linne Estates , LLC Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I <br /> Print Name: Signature: Date: <br /> Print Name: r Signature: + Date: <br /> 41 I <br />
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