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SU0011321 SSNL
Environmental Health - Public
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SU0011321 SSNL
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Last modified
5/7/2020 11:35:05 AM
Creation date
9/4/2019 11:35:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
FileName_PostFix
SSNL
RECORD_ID
SU0011321
PE
2622
FACILITY_NAME
PA-1700075
STREET_NUMBER
18626
Direction
E
STREET_NAME
COPPEROPOLIS
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
18321001
ENTERED_DATE
4/19/2017 12:00:00 AM
SITE_LOCATION
18626 E COPPEROPOLIS RD
RECEIVED_DATE
4/19/2017 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\C\COPPEROPOLIS\18626\PA-1700075\SU0011321\SS STUDY .PDF
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EHD - Public
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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NO: MS- <br /> AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I,the Owner/Agent agree,to defend,Indemnify,and hold harmless the County and its agents,officers and employees from any claim. <br /> action or proceeding against the Owner/Agent's project. <br /> 1 further certify, under penalty of perjury,that 1 am(check one): <br /> ® Legal property owner(owner includes partner,trustee,grantor,or corporate officer)of the property(s)involved In this <br /> application, or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> APN 183.210-01 <br /> The Joseph H.Sanguinetti Family LP �7- <br /> Print Name: Joseph H.Sanquinetti Signature/ / Date: 3'c')' -1%7 <br /> APN 183-210-02 <br /> Jeannette Sanguinetti,Trustee of the Survivor's Trust created under the restate Ronald J.Sanguinetti Family 1995 Revocable <br /> Trust dated September 6,2006 ' <br /> Print Name: Jeannette Sanguinetti.Trustee Signature/ Z 00�1Date: <br /> Print Name: Signatu Date: <br /> Print Name: Signature: Date: <br /> F�1DEVSV5P18nrvn9 Application Fwms'JAlmr SVbtlivislon(Rev.12-09-04) Page 5 of 5 <br /> 2016-224 Minor Subdivision <br />
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