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SU0003458
Environmental Health - Public
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EHD Program Facility Records by Street Name
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DOWNING
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476
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2600 - Land Use Program
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PA-0300512
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SU0003458
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Entry Properties
Last modified
5/7/2020 11:29:55 AM
Creation date
9/4/2019 5:33:16 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003458
PE
2690
FACILITY_NAME
PA-0300512
STREET_NUMBER
476
Direction
W
STREET_NAME
DOWNING
STREET_TYPE
ST
City
STOCKTON
ENTERED_DATE
4/30/2004 12:00:00 AM
SITE_LOCATION
476 W DOWNING ST
RECEIVED_DATE
10/8/2003 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\D\DOWNING\476\PA-0300512\SU0003458\APPL.PDF \MIGRATIONS\D\DOWNING\476\PA-0300512\SU0003458\CDD OK.PDF \MIGRATIONS\D\DOWNING\476\PA-0300512\SU0003458\EH COND.PDF \MIGRATIONS\D\DOWNING\476\PA-0300512\SU0003458\EH PERM.PDF
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EHD - Public
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4 E 1 <br /> LOT LINE ADJUSTMENT <br /> SAN JOA UIN CdUNTY COMIYIUNITY DEVELOPMENT AEPARTMENT <br /> AUTN lZATf SI NATURE <br /> LYTHE OWE F E P RT A U ED T M tLE P L T O <br /> 1,the Owner/Agent agree, to defend,indemnify,and hold harmless the County and its agents,officers and employees from any claim,action or <br /> proceeding against the Owner/Agent's project. <br /> i <br /> 1,further, certify under penalty of perjury that!am(check one): <br /> Legal property owner(owner includes partner, trustee,grantor,or corporate officer)of the property(s)involved in <br /> this application, or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's involved in this application'and <br /> have been authorized to file on their behalf.,and that the f going application statements are true and correct. <br /> Print Name: L Cil W r rice <br /> Signature: � Date: <br /> Print Name: L i 8 K' i L e- Signature: Date: Cl— <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: <br /> Signature: Date: ' <br /> i <br /> i <br /> I <br /> i <br /> F:DEVSEFt/IDARA/PLANAPPS/LD9'LINEAD.IAPPFDFM REV 2/1/99 -4- <br />
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