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SU0008975
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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OLIVE
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2600 - Land Use Program
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PA-1100221
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SU0008975
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Entry Properties
Last modified
5/7/2020 11:33:46 AM
Creation date
9/8/2019 12:36:25 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0008975
PE
2690
FACILITY_NAME
PA-1100221
STREET_NUMBER
21562
Direction
S
STREET_NAME
OLIVE
STREET_TYPE
AVE
City
RIPON
APN
22810018 19 20
ENTERED_DATE
11/21/2011 12:00:00 AM
SITE_LOCATION
21562 S OLIVE AVE
RECEIVED_DATE
11/21/2011 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\O\OLIVE\21562\PA-1100221\SU0008975\APPL.PDF \MIGRATIONS\O\OLIVE\21562\PA-1100221\SU0008975\CDD OK.PDF \MIGRATIONS\O\OLIVE\21562\PA-1100221\SU0008975\EH COND.PDF
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EHD - Public
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APPLICATION - LOT LINE ADJUSTIVIE <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMQE�iT =E-- --t - - <br /> FILE NUMBS=. <br /> AUTHORIZATION SIGNATURES <br /> 3NLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATIO',- _ <br /> -__ JwnerlAgent agree, to defend, indemnify, and hold harmless the :,oun_�, =-ems, office:-s <br /> ogees from any claim, action, or proceeding against the OwnehAgent's projec- <br /> u e , certify under penalty of perjury that i am (check one): <br /> -egai property owner(owner includes partner, trustee, trustor, or corporate off iceF: <br /> volved in this application, or <br /> _egal agent (attach proof of the owner's consent to the application of the property's i,,vo;beo it this <br /> appilcation and have been authorized to file on their behalf.. and that the foregoing apviica0cr statemzL <br /> S':'ue and correct. <br /> +are t Doiezal and Lela M.Doleaai,Trustees of the Richard P.90iezal Family Trust, UTA Date <br /> Richard P.Dolezal.Truskes Signature: - <br /> eta M. Dolezal.Trustee Signature: - - -- -.- -- -- - -- <br /> Signature: <br /> Signature: <br /> ,_-- Signature: <br /> >-- <br />
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