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SU0000368
EnvironmentalHealth
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2600 - Land Use Program
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MS-90-16
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SU0000368
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Entry Properties
Last modified
3/27/2020 3:35:18 PM
Creation date
3/26/2020 2:50:17 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0000368
PE
2622
FACILITY_NAME
MS-90-16
STREET_NUMBER
13136
STREET_NAME
COPPEROPOLIS
ENTERED_DATE
9/19/2001 12:00:00 AM
SITE_LOCATION
13136 COPPEROPOLIS
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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O SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner , trustee, trustor , <br /> or corporate officer ) , <br /> LJOwner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , <br /> and hat the foregoing is true and correct . <br /> �54i- � F ° y <br /> (Signature ) (Da e ) <br /> Minor Subdivision - 6 - ( 6/86 ) <br />
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