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SU0008253
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ESCALON BELLOTA
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2600 - Land Use Program
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PA-1000104
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SU0008253
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Entry Properties
Last modified
11/16/2020 9:03:03 AM
Creation date
9/4/2019 6:09:24 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0008253
PE
2663
FACILITY_NAME
PA-1000104
STREET_NUMBER
4088
Direction
S
STREET_NAME
ESCALON BELLOTA
STREET_TYPE
RD
City
FARMINGTON
ENTERED_DATE
5/17/2010 12:00:00 AM
SITE_LOCATION
4088 S ESCALON BELLOTA RD
RECEIVED_DATE
5/14/2010 12:00:00 AM
P_DISTRICT
004
QC Status
Approved
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SJGOV\wng
Supplemental fields
FilePath
\MIGRATIONS\E\ESCALON BELLOTA\4088\PA-1000104\EH PERM.PDF
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EHD - Public
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APPLICATION - VARIANCE <br /> SAN JOAOUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: VR- <br /> FINDINGS (Continued) <br /> 3. The Variance will not authorize a use or activity which is not otherwise expressly authorized by the zone regulation governing <br /> the parcel of property. <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 <br /> from any claim, action or proceeding against the County arising from the Owner/Agent's project. <br /> I, further, certify under penalty of perjury that I 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 /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's involved in this application <br /> and have been authorized to file on their behalf., and that the <br /> foregoing application statements are true and correct. <br /> Print Name: c,&gnature: v f Date: �r 7— <br /> Print Name: •1 Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F:IDEVSVCIPIanning Application Forms\Variance.doc.(Revised 5-11-09) Page 6 of 7 <br />
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