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SU0010612
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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M
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MOUNTAIN HOUSE
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19629
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2600 - Land Use Program
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PA-1500148
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SU0010612
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Entry Properties
Last modified
12/17/2019 8:49:59 AM
Creation date
9/6/2019 10:17:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010612
PE
2688
FACILITY_NAME
PA-1500148
STREET_NUMBER
19629
Direction
S
STREET_NAME
MOUNTAIN HOUSE
STREET_TYPE
PKWY
City
MOUNTAIN HOUSE
Zip
95391-
APN
20904018
ENTERED_DATE
8/27/2015 12:00:00 AM
SITE_LOCATION
19629 S MOUNTAIN HOUSE PKWY
RECEIVED_DATE
8/25/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\M\MOUNTAIN HOUSE PKWY\19629\PA-1500148\SU0010612\EH COND.PDF
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EHD - Public
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AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 4 s <br /> SIGNATURE. <br /> I certify under penalty of perjury that I am (check one): <br /> O Legal property owner(owner includes partner, trustee, trustor, or corporate 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 <br /> and that the foregoing application statements are true and correct. <br /> Signature: -Date: 3/2/15 <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> FMountaln House/MH APPlication FonnslMH-Plan Title Arend Form-MASTER <br /> -6- <br />
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