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SU0008735
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1100066
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SU0008735
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Entry Properties
Last modified
5/7/2020 11:33:39 AM
Creation date
9/6/2019 10:34:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0008735
PE
2622
FACILITY_NAME
PA-1100066
STREET_NUMBER
29665
Direction
S
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
APN
25527006
ENTERED_DATE
5/3/2011 12:00:00 AM
SITE_LOCATION
29665 S KASSON RD
RECEIVED_DATE
5/2/2011 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KASSON\29665\PA-1100066\SU0008735\APPL.PDF \MIGRATIONS\K\KASSON\29665\PA-1100066\SU0008735\CDD OK.PDF \MIGRATIONS\K\KASSON\29665\PA-1100066\SU0008735\EH COND.PDF \MIGRATIONS\K\KASSON\29665\PA-1100066\SU0008735\EH PERM.PDF
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EHD - Public
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F - } <br /> APPLICATION - MINOR SUBDIVISION <br /> - SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> I <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I,the Owner/Agent agree, to defend, indemnify,and hold harmless the County and its agents,officers and employees from any claim, <br /> action or proceeding against the Owner/Agent's project. <br /> f <br /> I further certify, under penalty of perjury,that I am(check one): <br /> � Legal property owner(owner includes partner,trustee,grantor,or corporate officer)of the property(s)involved in this <br /> application,or <br /> [I Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf.,and that the foregoing application s tements are true and correct. <br /> Print Name: G rrit Hofman Signature rlkla.Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />
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