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SU0006456
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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2600 - Land Use Program
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PA-0600642
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SU0006456
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Entry Properties
Last modified
12/13/2019 8:51:42 AM
Creation date
9/5/2019 10:44:24 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006456
PE
2691
FACILITY_NAME
PA-0600642
STREET_NUMBER
18353
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95376
APN
209450014 15
ENTERED_DATE
3/1/2007 12:00:00 AM
SITE_LOCATION
18353 W GRANT LINE RD
RECEIVED_DATE
2/26/2007 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\18353\PA-0600642\SU0006456\IMP PLN.PDF
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EHD - Public
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3. <br /> :,.. <br /> i4 RIA S` T <br /> ME RRRR <br /> a r � <br /> SIGNATURE: <br /> I certify under penalty of perjury that 1 am(check one): <br /> iJ Legal property owner(owner includes partner, trustee, trustor, or corporate officer) of the property(s) <br /> Involved in this application,or <br /> C7 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 /> a f regoing application statements are true and correct <br /> Signature: Date: <br /> Signa ture: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> F:Mountam House7MH Application Forms/MH-Plan Title Ali Form-MASTER <br /> I <br /> i <br /> i <br /> 1 <br /> z., <br /> I. r <br /> P:525025-0)officelSubm1laWFor Sul mM tta120061PlanAmend menlApp-MHMaslerplan.doc <br /> -6- <br />
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