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SU0006256
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-0600433
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SU0006256
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Entry Properties
Last modified
12/13/2019 1:55:06 PM
Creation date
9/5/2019 10:47:34 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006256
PE
2620
FACILITY_NAME
PA-0600433
STREET_NUMBER
20058
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
MOUNTAIN HOUSE
APN
20907026
ENTERED_DATE
9/15/2006 12:00:00 AM
SITE_LOCATION
20058 W GRANT LINE RD
RECEIVED_DATE
9/12/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\20058\PA-0600433\SU0006256\CDD OK.PDF
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EHD - Public
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> Jl- <br /> State of California : <br /> } <br /> f <br /> county of Alameda,r <br /> Orl before ttte, <br /> - - -' DAT '� f _ A ` NAME-1'1TT.8t1F0 WE <br /> personally aPl3earede�-- <br /> NAFA�{S) OF 1GNER(5} <br /> Personally known to me::."OR `[] prayed to tne.oa the basis of satrsfactory evidence to be <br /> tlse:person(s) whose naive(s)'islare subscribe l to the <br /> within. iustrurhent. and acknowledge. to me that.: : <br /> he/sheftheyexecuted the sarne,in hislherltieir authorized <br /> SA;et ON LAHEY WARD capacity(es), and that' by hiAerltheir signature(s) on <br /> QMM: #1623267 the instrument the person(s) or-the entity upon behalf of <br /> f�OTARYPIIBEtC CALIFORNIA which the erson 5 acted executed.the instrument. <br /> AIAMEDA COUNtY p { } <br /> MY C*M Expires Nov.21,2009 <br /> SS my hand a o rcial:seal <br /> GNATUR T Y <br /> OPTIONAI. <br /> Though the data below is not required by law, it may prove valuable to persons relying on the document and <br /> could prevent fraudulent reattachment of this form. <br /> CAPACITY CLAIMED BY SIGNED DESCRIPTION OF ATTACHED DOCUMENT <br /> ❑ INDIVIDUAL <br /> ❑ CORPORATE OFFICER Tl"ru,OR 1YFC-OF DOCUMENT <br /> TITLE(S) <br /> ❑ PARTNER(S) ❑ LIMITED <br /> ❑ GENERAL NUIM9FKOFPAG ES <br /> ❑ A I-rORNEY-IN-FACT <br /> ❑ TRUSTEE(S) DATE OF DOCUMENT <br /> ❑ GUARDIAN/CONSERVATOR <br /> ❑ OTHER: <br /> SIGNER(S)OTRE.R THAN NAMED ABOVE <br /> SIGNER IS REPRESENTING: <br />
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