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SU0004163
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-92-07
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SU0004163
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Entry Properties
Last modified
5/7/2020 11:30:32 AM
Creation date
9/9/2019 10:16:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004163
FACILITY_NAME
GX-92-07
STREET_NUMBER
10691
Direction
E
STREET_NAME
SOUTHLAND
STREET_TYPE
RD
City
MANTECA
ENTERED_DATE
5/12/2004 12:00:00 AM
SITE_LOCATION
10691 E SOUTHLAND RD
RECEIVED_DATE
7/17/1992 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\S\SOUTHLAND\10691\GX-92-07\SU0004163\APPL.PDF \MIGRATIONS\S\SOUTHLAND\10691\GX-92-07\SU0004163\CDD OK.PDF \MIGRATIONS\S\SOUTHLAND\10691\GX-92-07\SU0004163\EH COND.PDF
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EHD - Public
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APPLICATION - GRADING EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT,MAY FILE AND APPLICATION <br /> SIGNATURE: I 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 <br /> that the foregoing application statements are true and correct. <br /> Signature: fie: <br /> Signature: Date: <br /> Signature: Date. <br /> Signature: Date: <br /> Signature: Date: <br /> t, <br /> -6- <br />
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