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SU0001013
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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MS-92-155
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SU0001013
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Entry Properties
Last modified
10/26/2020 6:12:14 PM
Creation date
9/5/2019 11:09:15 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001013
PE
2622
FACILITY_NAME
MS-92-155
STREET_NUMBER
8421
Direction
N
STREET_NAME
HELEN
STREET_TYPE
LN
City
STOCKTON
ENTERED_DATE
10/10/2001 12:00:00 AM
SITE_LOCATION
8421 N HELEN LN
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\H\HELEN\8421\MS-92-155_VR-92-02\SU0001013\EH PERM.PDF
Tags
EHD - Public
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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTI-10HIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AG£N'C uAY FILE ANN APPLIGATIOtd, <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> Legal : operty owner (owner Includes partner, trustee, trustor, or corps ite officer) of the property(s) <br /> Involved in this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's Involved In this <br /> application and have been authorized to file on their behalf., and <br /> that the foreaoina sDolication statements are true and correct <br /> Sig Date: Z C <br /> Signature: <br /> Signature: Date: <br /> Signature: <br /> Date: <br /> Signature: <br /> Date: <br /> .5- <br />
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