My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
SU0010613
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
M
>
MOUNTAIN HOUSE
>
19629
>
2600 - Land Use Program
>
PA-1500149
>
SU0010613
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/17/2019 8:58:33 AM
Creation date
9/6/2019 10:17:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010613
PE
2638
FACILITY_NAME
PA-1500149
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-1500149\SU0010613\APPL.PDF
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
12
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> SIGNATURE: <br /> 1 certify under penalty of perjury that I am(check one): <br /> Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> x 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: ate: 3/2/15 <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> F:Mountain Housa MH Apphl tion Forms/MH-Plan rtle Amnd Form-MASTER <br />
The URL can be used to link to this page
Your browser does not support the video tag.