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SU0002728
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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22364
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2600 - Land Use Program
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SA-99-11
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SU0002728
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Entry Properties
Last modified
11/19/2024 1:58:45 PM
Creation date
9/8/2019 12:55:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0002728
PE
2633
FACILITY_NAME
SA-99-11
STREET_NUMBER
22364
Direction
N
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
ACAMPO
ENTERED_DATE
10/31/2001 12:00:00 AM
SITE_LOCATION
22364 N HWY 99 RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\22364\SA-99-11\SU0002728\CDD OK.PDF
Tags
EHD - Public
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APPLICATION - SITE APPROVAL <br /> AUTHORIZATION SIGNATURES - <br /> ONLY THE.OWNER OF THE PROPERTY OR AN:AUTHORIZEDAGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, officers and employees <br /> from any claim, action or proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> XLegal property owner(owner includes partner,trustee,trustor, or corporate officer) of the <br /> property(s) involved in this application, or <br /> Legal agent (attach proof of the owner's consent to the application of the property's involved <br /> in this application and have been authorized to file on their behalf., and that the foregoing <br /> app r84on statements are true and correct. <br /> Prin ame: g ��u ✓Z OGS <br /> Si nature: "9 Date: <br /> Print ame: Signature: Date: I� <br /> Print Name: Signature: Date: I <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />
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