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SU0004894
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-0400706
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SU0004894
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Entry Properties
Last modified
5/7/2020 11:31:18 AM
Creation date
9/9/2019 10:54:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004894
PE
2622
FACILITY_NAME
PA-0400706
STREET_NUMBER
30003
Direction
N
STREET_NAME
VAIL
STREET_TYPE
RD
City
THORNTON
APN
00109002
ENTERED_DATE
3/9/2005 12:00:00 AM
SITE_LOCATION
30003 N VAIL RD
RECEIVED_DATE
3/8/2005 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\V\VAIL\30003\PA-0400706\SU0004894\APPL.PDF \MIGRATIONS\V\VAIL\30003\PA-0400706\SU0004894\CDD OK.PDF \MIGRATIONS\V\VAIL\30003\PA-0400706\SU0004894\EH COND.PDF \MIGRATIONS\V\VAIL\30003\PA-0400706\SU0004894\EH PERM.PDF
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EHD - Public
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APPLICATION-MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTYCOMMuNITYAEvELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY,FILE AN APPLICATION. <br /> 1,the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and its agents,officers and employees tram any claim,action or <br /> proceeding against the Owner/Agent's project. <br /> I further certify, under penalty of perjury,that I am(check one): <br /> Legal property owner(owner Includes partner, trustee,grantor,or corporate officer)of the property(s)Involved In this <br /> application,or <br /> 0 Legal agent(attach proof of the owner's consent to the application of the property's Involved In this application and <br /> have been authorized to file on their behalf.,and that th oregoIng application statements are true and correct. <br /> Print Name: Zrlqi 15 Signal Date: <br /> j <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> i <br /> i <br /> I <br /> i <br /> 14IN0ti5[IBAP? FORM HHV, 8-10-01 (INO) <br />
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