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SU0014751
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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MILTON
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2600 - Land Use Program
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PA-2200014
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SU0014751
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Entry Properties
Last modified
6/20/2022 2:42:53 PM
Creation date
3/18/2022 4:26:15 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0014751
PE
2690
FACILITY_NAME
PA-2200014
STREET_NUMBER
17151
Direction
E
STREET_NAME
MILTON
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
10510014, -23
ENTERED_DATE
2/8/2022 12:00:00 AM
SITE_LOCATION
17151 E MILTON RD
RECEIVED_DATE
3/17/2022 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\tsok
Tags
EHD - Public
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Signature Page to Property Owners' Water License Agreement <br /> Nino, LLC <br /> 13y. Date <br /> By' Date <br /> CALIFORNIA ACKNOWLEDGMENT CIVIL CODE §1189 <br /> WWkkWWWki:WkW**k:4W**kWWWk**W**kWW***WWW*#'kWW*k*!****k***'kkW*kkk**kk**k*kW,k*WW**kWW**kW*kkk***:h W**k:hW#'k'kk*kkWW***. <br /> A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document <br /> to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. <br /> State of California <br /> County of <br /> On . -- --- - --- - -- - - before me, .-- - -- -Date dere insert Name and Title of the Officer <br /> personally appeared . <br /> Narne(s)of Slgner(s) <br /> who proved to me on the basis of satisfactory evidence to be the person(s)whose name(s) is/are subscribed <br /> to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their <br /> authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity <br /> upon behalf of which the person(s) acted, executed the instrument. <br /> I certify under PENALTY OF PlAOURY under the <br /> laws of the State of California that the foregoing <br /> paragraph is true and correct. <br /> WIl'NF SS my hand and official seal. <br /> Signature _ <br /> Place Notary Soal and/or Starnp Abovo S011ature of Notary Public <br />
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