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SR0084566_SSCRPT
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2600 - Land Use Program
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SR0084566_SSCRPT
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Last modified
12/29/2021 1:47:31 PM
Creation date
12/29/2021 1:43:45 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSCRPT
RECORD_ID
SR0084566
PE
2603
STREET_NUMBER
18201
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
MOUNTAIN HOUSE
Zip
95391
APN
20945035
ENTERED_DATE
12/6/2021 12:00:00 AM
SITE_LOCATION
18201 W GRANT LINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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3 1 Page <br />Yes No <br />6. What is the proposed future use of this property? (Please provide a site map if <br />available.) <br />See #2 response. Civil plans are included. <br />ENDORSEMENTS: <br />Part 1 <br />As the User of the Surface & Subsurface Contamination Report being prepared for the property (or the <br />duly authorized representative of such User), I hereby certify that to the best of my knowledge, <br />information, and belief the information disclosed above is true and correct. <br />7��Y 10/14/2021 <br />Client (user) Signature Date <br />Marshall Swift <br />Client (user) Name (Please Print) <br />Contact Phone Number ( 209 ) 202-8588 <br />petralog ix <br />26675 Bruella Road • Galt, CA 95632 • 209.400.5729 <br />
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