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SU0011950
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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18201
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2600 - Land Use Program
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PA-1800157
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SU0011950
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Entry Properties
Last modified
5/7/2020 11:35:33 AM
Creation date
9/5/2019 10:43:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0011950
PE
2608
FACILITY_NAME
PA-1800157
STREET_NUMBER
18201
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
MOUNTAIN HOUSE
Zip
95391-
APN
20945035
ENTERED_DATE
9/19/2018 12:00:00 AM
SITE_LOCATION
18201 W GRANT LINE RD
RECEIVED_DATE
9/6/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\18201\PA-1800157\SU0011950\APPL.PDF \MIGRATIONS\G\GRANT LINE\18201\PA-1800157\SU0011950\EH COND.PDF \MIGRATIONS\G\GRANT LINE\18201\PA-1800157\SU0011950\EH PERM.PDF
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EHD - Public
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AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> SIGNATURE: <br /> I certify under penalty of perjury that I am (check one): <br /> O Legal property owner(owner includes partner, trustee, trustor, or corporate officer)of the property(s) <br /> involved in this application, or <br /> O Legal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf <br /> and that the foregoing application statements are true and orrect. <br /> Signature: LDate: is (� <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> RMountain HousWMH Application Fcrms/MH-Plan TIIe Amnd Form-MASTER <br /> 6- <br />
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