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SU0003449
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-0400067
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SU0003449
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Entry Properties
Last modified
5/7/2020 11:29:54 AM
Creation date
9/6/2019 10:50:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003449
PE
2690
FACILITY_NAME
PA-0400067
STREET_NUMBER
2652
Direction
E
STREET_NAME
LEWIS
STREET_TYPE
ST
City
STOCKTON
ENTERED_DATE
4/30/2004 12:00:00 AM
SITE_LOCATION
2652 E LEWIS ST
RECEIVED_DATE
2/23/2004 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\L\LEWIS\2652\PA-0400067\SU0003449\APPL.PDF \MIGRATIONS\L\LEWIS\2652\PA-0400067\SU0003449\CDD OK.PDF \MIGRATIONS\L\LEWIS\2652\PA-0400067\SU0003449\EH COND.PDF \MIGRATIONS\L\LEWIS\2652\PA-0400067\SU0003449\EH PERM.PDF
Tags
EHD - Public
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T LINE ADJUSTMENT <br /> V e SAN JOA UIN C uNTY cummuy TY DEVELOPMENT DEPARTMENT <br /> a T RrxArr ' NaT RE <br /> - Q=r1415 OWKM OF THE PROMa 0 Ahl-A-UTHORIZED AGENT MAY FILE jgj2 APPLICA <br /> to the Owr?erfAgent agree,to defend,lndemnlfy,and hold harries the County and Its agents,officers and employees from any claim,action or <br /> nroceeding against the Owner/Agent's project <br /> i,further, certify under penalty of perjury that 1 am(check one): <br /> O Legal property owner(owner Includes partner,trustee,grantor,or corporate officer)of the property(s)Involved In <br /> this application,or <br /> O Legal agent(attach proof of fhe 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. <br /> Print Name: Signature: <br /> Print Name: `Si ature: Dater"/o-,"'6,4 <br /> Print Name: 1 - Signature: -d� Date: <br /> Print Name: r 5 ��� S� Signature: Date: /D^O7 <br /> Print Name: Signature:' Date: <br /> I <br /> y] <br /> 1 <br /> i <br /> v <br /> I <br /> E <br /> a"c"a+.aer==-+-�+'-• yr' �Y� � r. - w.�� may.. � <br /> I <br /> F,DEV9ER/IDARN/PLANAPPS/LDPLINEADJAPPMPX REV 2/3/99 -4- <br />
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