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SU0004140
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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GX-95-01
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SU0004140
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Entry Properties
Last modified
12/4/2019 3:18:38 PM
Creation date
9/9/2019 10:14:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004140
FACILITY_NAME
GX-95-01
STREET_NUMBER
9920
Direction
N
STREET_NAME
SHELLEY
STREET_TYPE
RD
City
LINDEN
ENTERED_DATE
5/12/2004 12:00:00 AM
SITE_LOCATION
9920 N SHELLEY RD
RECEIVED_DATE
8/8/1995 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\S\SHELLEY\9920\GX-95-01\SU0004140\CDD OK.PDF
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EHD - Public
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APPLICATION - AGRICULTURAL EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN ALITHORCMD AGENT MAY FILE AND APPLICATION. <br /> SIGNATURE: I certify under penalty of perjury that I am(check one): <br /> N 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 <br /> that the foregoing application statements are true and correct <br /> D.- <br /> Dr r: <br /> DaW <br /> SN—t-- Dome: <br /> S{gnatrae: Defer <br /> -6- <br />
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