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SU0012861
EnvironmentalHealth
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2600 - Land Use Program
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MS-87-42
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SU0012861
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Entry Properties
Last modified
2/10/2020 12:04:15 PM
Creation date
2/10/2020 11:22:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012861
PE
2600
FACILITY_NAME
MS-87-42
STREET_NUMBER
20155
Direction
N
STREET_NAME
APPLE
STREET_TYPE
DR
City
LOCKEFORD
Zip
95237-
APN
01937021
ENTERED_DATE
1/13/2020 12:00:00 AM
SITE_LOCATION
20155 N APPLE DR
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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I certify under penalty of perjury that I am (check one ) : <br /> Legal Owner (s ) (All owners must sign as their names appear on the <br /> deed. ) , <br /> Corporate Officer (s ) empowered to sign for the corporation, <br /> LX Owner ' s legal agent having Power of Attorney for this action (a <br /> notarized Power of Attorney document must accompany the <br /> application ) , <br /> and at th foregoing is true and correct. <br /> (,Sign (Date ) <br /> 92 l Z-- T— <br /> u <br /> —u e ) (Date ) <br /> ore ) Legal agent for (Date ) <br /> Bonaire Motors <br /> O d <br /> ( gn ure ) Legal agent for (Date ) <br /> Juarez Holdings <br /> (Signature) (Date) <br /> Minor Subdivision - 7 - ( 7/84 ) <br />
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