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SU0004339
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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88 (STATE ROUTE 88)
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13942
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2600 - Land Use Program
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PA-0200180
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SU0004339
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Entry Properties
Last modified
11/20/2024 9:24:10 AM
Creation date
9/4/2019 6:11:58 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004339
PE
2632
FACILITY_NAME
PA-0200180
STREET_NUMBER
13942
STREET_NAME
STATE ROUTE 88
City
LOCKEFORD
ENTERED_DATE
5/17/2004 12:00:00 AM
SITE_LOCATION
13942 HWY 88
RECEIVED_DATE
5/3/2002 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\E\HWY 88\13942\PA-0200180\SU0004339\TENT MAP.PDF
Tags
EHD - Public
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STATE ]F CAI. PA - 0200180:'�'�RNIA DUGRAM OF PROPERTY ON WHICH <br /> DEPARTMENT OF ALCOHOLIC BEVERAGE CONTROL LICENSED PREMISES A E LOCATED <br /> •PP,- z:&Nr S. <br /> n�.. sEs ♦a�n[33 5[rllr! - 'Crv, <br /> TIDEOF � cctisc <br /> The diagram below is a true and correct description of the property owned or otherwise controlled by me/us <br /> on which the licensed premises described on Form ABC-157 are located, and showing the location of said <br /> premises on the propert)-. <br /> DIAGRAM: <br /> ullllt � � i <br /> I <br /> STORAGE <br /> E, L i 1 <br /> - r wALxtN I <br /> FOOD I COOLER <br /> PREP o <br /> AREA <br /> I <br /> RETAIL AREA <br /> It is hereby declared that the above-described property is owned or otherwise controlled by me/us and it is <br /> agreed and understood that the only area therein in which alcoholic beverages will be sold, served, consumed, <br /> possessed or stored is that portion designated above and on Form .SBC-3.57 as the licensed premises. I declare <br /> under penalty of perjury that the foregoing is true and correct. <br /> Date:_ �r ^�4� `_.--Place:. _ ........ <br /> . <br /> - s� <br /> sipjamm <br /> .PARTMENT vs* oniy. <br />
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