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SU0013367
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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14900
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2600 - Land Use Program
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RV-88-02
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SU0013367
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Entry Properties
Last modified
11/19/2024 3:48:19 PM
Creation date
5/27/2020 9:02:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013367
PE
2600
FACILITY_NAME
RV-88-02
STREET_NUMBER
14900
Direction
W
STREET_NAME
STATE ROUTE 12
City
LODI
Zip
95242-
APN
05503009
ENTERED_DATE
5/22/2020 12:00:00 AM
SITE_LOCATION
14900 W HWY 12
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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SITE ALTERATIONS <br /> Do you propose any site grading: No Q Yes If yes, describe: <br /> �. --fo <br /> Will any vegetation be removed: No [ Yes Q if yes , describe: <br /> PROPERTY INFORMATION <br /> Property Address /54/2Q (2)- .4 9F;Q y/- <br /> Assessor 's Parcel Number(s ) 0,S-5---0,30- 09 6SS=Qt&O- 03 <br /> Size of Project Area //Q ,oqep- re s <br /> 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 /> LJ Owner 's legal agent (attach proof of the owner 's consent to file <br /> the application ) , <br /> and that <br /> �the <br /> � foregoing is true and correct. <br /> (Signature ) (Date ) <br /> Mobilehome/Recreational <br /> Vehicle Park Permit - 6 - (9/86 ) <br /> .i <br />
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