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SU0002566
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HOLT
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3510
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2600 - Land Use Program
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SA-00-68
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SU0002566
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Entry Properties
Last modified
5/7/2020 11:29:17 AM
Creation date
9/5/2019 11:18:26 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0002566
PE
2633
FACILITY_NAME
SA-00-68
STREET_NUMBER
3510
Direction
N
STREET_NAME
HOLT
STREET_TYPE
RD
City
STOCKTON
ENTERED_DATE
10/29/2001 12:00:00 AM
SITE_LOCATION
3510 N HOLT RD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HOLT\3510\SA-00-68\SU0002566\APPL.PDF \MIGRATIONS\H\HOLT\3510\SA-00-68\SU0002566\CDD OK.PDF \MIGRATIONS\H\HOLT\3510\SA-00-68\SU0002566\EH COND.PDF
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EHD - Public
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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> Femployees <br /> THE OWNER-OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> r/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> from any claim, action or proceeding against the Owner/Agent's project. <br /> certify under penalty of perjury that I am (check one): <br /> property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> this application, or <br /> agent(attach proof of the owner's consent to the application of the property's involved in this <br /> appand have been authorized to file on their behalf., and that the foregoing application statements <br /> are true and correct.LLe <br /> /�(/��✓ M .%�A� Signature: ze6O Date:�aG4 ©E HENT �f�L<l>/AD�7 Signature �✓ )Date: fD .2(e—OvSignature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> .;�otaM 10 evert\�,. <br />
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