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SU0001219
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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LA-00-78
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SU0001219
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Entry Properties
Last modified
5/7/2020 11:28:32 AM
Creation date
9/5/2019 11:02:33 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001219
PE
2690
FACILITY_NAME
LA-00-78
STREET_NUMBER
4751
Direction
E
STREET_NAME
HARVEST
STREET_TYPE
RD
City
ACAMPO
ENTERED_DATE
10/17/2001 12:00:00 AM
SITE_LOCATION
4751 E HARVEST RD
RECEIVED_DATE
10/30/2000 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HARVEST\4751\LA-00-78\SU0001219\APPL.PDF \MIGRATIONS\H\HARVEST\4751\LA-00-78\SU0001219\CDD OK.PDF \MIGRATIONS\H\HARVEST\4751\LA-00-78\SU0001219\EH COND.PDF \MIGRATIONS\H\HARVEST\4751\LA-00-78\SU0001219\EH PERM.PDF
Tags
EHD - Public
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LOT LINE ADJUSTMENT <br /> Y1t r SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> !I AUTHORRATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1,the Owner/Agent agree,to defend,lndemnlfy,and hold harmless the County and Its agents,officers and employees from any claim,action <br /> or proceeding against the Owner/Agents project. <br /> 1,further, certify under penalty of perjury that I am(check one): <br /> �i <br /> Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)involved In this <br /> :j application,or <br /> O 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 rile on their behalf.,and that the foregoing application statements are true and correct <br /> E� <br /> E! <br /> fi <br /> Print Name: - .AV'n <br /> Print Name: ac'c. lJ�lt4E C'L-_ w ', Signature: Date: !D J <br /> O <br /> H ! fI am 'LCt� Signature: Date: <br /> Print Name: ,JO!f'jf:.,!- Mef7at,- Jr, SignatureDate: AO-'(3-00 <br /> Print Name: c r rGG v Signature: ° Date: 10-13- <br /> Print <br /> 0-/3-il <br /> Print Name: Signature: Date: <br /> EJ <br /> f� <br /> f� <br /> �j <br /> i <br /> a <br /> I9 i <br /> I <br /> j) <br /> .I <br /> [1 <br /> E <br /> E� <br /> v' <br /> �j <br /> i <br /> Ej <br /> Ej <br /> iJ <br /> 1� <br /> II <br /> J <br /> i <br />
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