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SU0002572
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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O
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120 (STATE ROUTE 120)
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10623
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2600 - Land Use Program
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SA-00-33
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SU0002572
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Entry Properties
Last modified
11/19/2024 4:01:40 PM
Creation date
9/8/2019 12:31:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0002572
PE
2633
FACILITY_NAME
SA-00-33
STREET_NUMBER
10623
Direction
E
STREET_NAME
STATE ROUTE 120
City
MANTECA
APN
20820025
ENTERED_DATE
10/29/2001 12:00:00 AM
SITE_LOCATION
10623 E HWY 120
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\O\HWY 120\10623\SA-00-33\SU0002572\APPL.PDF \MIGRATIONS\O\HWY 120\10623\SA-00-33\SU0002572\CDD OK.PDF \MIGRATIONS\O\HWY 120\10623\SA-00-33\SU0002572\EH COND.PDF \MIGRATIONS\O\HWY 120\10623\SA-00-33\SU0002572\EH PERM.PDF
Tags
EHD - Public
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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> 1, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and <br /> employees from any claim, action or proceeding against the Owner/Agent's project. <br /> I, further, 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 file on their behalf., and that the foregoing application statements <br /> are true and correct. <br /> Print Name: L7rL'�L"-J Pe tf 5 Signature: tt/�c.�si�^►��' /j Date:�G V <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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