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SU0010470
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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ROTH
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2600 - Land Use Program
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PA-1500064
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SU0010470
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Entry Properties
Last modified
5/7/2020 11:34:35 AM
Creation date
9/9/2019 9:09:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010470
PE
2620
FACILITY_NAME
PA-1500064
STREET_NUMBER
1000
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
APN
19803020 23 27 28 29 31 19820001 05 16
ENTERED_DATE
4/20/2015 12:00:00 AM
SITE_LOCATION
1000 E ROTH RD
RECEIVED_DATE
4/14/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\ROTH\1000\PA-1500064\SU0010470\APPL.PDF \MIGRATIONS\R\ROTH\1000\PA-1500064\SU0010470\CDD OK.PDF \MIGRATIONS\R\ROTH\1000\PA-1500064\SU0010470\EH COND.PDF
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EHD - Public
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ACKNOWLEDGMENT BY DEVELOPER: <br /> STATE OF NEBRASKA ) <br /> ss. <br /> County of Douglas ) <br /> On this day of , 20 , before me, <br /> Notary Public, personally appeared , who proved to me on the <br /> basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within <br /> instrument and acknowledged to me that he/she executed the same in his/her authorized capacity, <br /> and that by his/her signature on the instrument the person, or the entity upon behalf of which the <br /> person acted, executed the instrument. <br /> I certify under PENALTY OF PERJURY under the laws of the State of Nebraska that the <br /> foregoing paragraph is true and correct. <br /> WITNESS my hand and official seal. <br /> Signature <br />
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