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SU0001654
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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LA-94-43
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SU0001654
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Entry Properties
Last modified
10/27/2020 11:43:16 AM
Creation date
9/6/2019 10:47:35 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001654
PE
2690
FACILITY_NAME
LA-94-43
STREET_NUMBER
10955
Direction
W
STREET_NAME
LARCH
STREET_TYPE
RD
City
TRACY
Zip
95376
ENTERED_DATE
10/19/2001 12:00:00 AM
SITE_LOCATION
10955 W LARCH RD
QC Status
Approved
Scanner
SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\L\LARCH\10955\LA-94-43_DC-94-01\SU0001654\EH PERM.PDF
Tags
EHD - Public
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APPLICATION - DWELLING CLUSTER <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF.THE.PROPERTY.OR:AN AUTHORIZED AGENT MAY FILE AND APPLICATION. <br /> SIGNATURE: I 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 /> ❑ 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 fib on their behaH., and <br /> that the foregoing application statements are true and correct <br /> signature: ,(1J. D aK Z O / <br /> Signahaa: <br /> Signature: DOK <br /> Signature: DdK <br /> Signat": Dow <br /> -4- <br />
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