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SU0001343
EnvironmentalHealth
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2600 - Land Use Program
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LA-99-40
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SU0001343
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Entry Properties
Last modified
5/7/2020 11:28:39 AM
Creation date
9/6/2019 10:36:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001343
PE
2690
FACILITY_NAME
LA-99-40
STREET_NUMBER
18150
Direction
S
STREET_NAME
KELSO
STREET_TYPE
RD
City
TRACY
Zip
95376
ENTERED_DATE
10/18/2001 12:00:00 AM
SITE_LOCATION
18150 S KELSO RD
RECEIVED_DATE
6/21/1999 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KELSO\18150\LA-99-40\SU0001343\APPL.PDF \MIGRATIONS\K\KELSO\18150\LA-99-40\SU0001343\CDD OK.PDF \MIGRATIONS\K\KELSO\18150\LA-99-40\SU0001343\EH COND.PDF \MIGRATIONS\K\KELSO\18150\LA-99-40\SU0001343\PUB REC REL APPL.PDF
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EHD - Public
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LOT LINE ADJUSTMENT <br /> SAN✓OAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> 7r7 <br /> NLY THE OWNER OF THE PROPERTY OR AN AU7HOR/ZED AGENT MAY PILE AN APPLICATION. <br /> t agree, to defend, Indemnify, and hold harmless the County and Its agents, officers and employees from any claim, action <br /> inst the Owner/Agent's project. <br /> under penalty of perjury that I am(check one): <br /> 0 Legal property owner(owner includes partner, trustee, trustor, or corporate officer)of the property(s)Involved/n this <br /> application, or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application and <br /> have been authorized to file on their behalf., and that the foregoing application statements are true and correct.� �� �. Signature:( /� G% Date: Z� <br /> Print Name: Signature: Date: <br /> L <br /> me: Signature: Date: <br /> me: Signature: Date: <br /> me: Signature: Date: <br /> +a+vMPq uoe F111,,I I", <br /> a. <br />
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