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SU0006255
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-0600365
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SU0006255
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Last modified
12/13/2019 1:28:24 PM
Creation date
9/5/2019 10:46:55 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0006255
PE
2638
FACILITY_NAME
PA-0600365
STREET_NUMBER
20058
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
MOUNTAIN HOUSE
APN
20907026
ENTERED_DATE
9/15/2006 12:00:00 AM
SITE_LOCATION
20058 W GRANT LINE RD
RECEIVED_DATE
9/12/2006 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\G\GRANT LINE\20058\PA-0600365\SU0006255\CDD OK.PDF
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EHD - Public
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CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT <br /> State of California <br /> County of 'Alameda } <br /> 3 i = <br /> {p be€are I�lme <br /> DAtA'. pIA ,'T)TF-EIOFO'FICER <br /> personalty appeared nn t <br /> - ,- NACV[E{S�OF ,[GNEit(s) - <br /> Personally known to me: OR.. proved to�tne.art the basis of sattsfactnry evidence td be <br /> the e persctn(s) .whose:name(s) tslare-suliscribed to.the <br /> wiCliin, instrEihaent. and, aclatov✓ledge. to me :that: :. <br /> he/she/they executed the same in his/her/their authortzed <br /> {ARoN t.AFFEY.WARD capacity(es); and that by his/her/their signatures) on <br /> COMM: #1523257 the instrument the person(s),-ot the entity upon behalf of <br /> �. N©TARY'PUBLIC CAUFORNIA'- <br /> which the person(s) acted, executed the instrttme►it. <br /> AL:AMEDA COUNTY <br /> 1Y 6.M;.6 fires Nov,21,2009: <br /> SS my hand aiyr-olftpi41:seal ` <br /> . - GNATO T Y . <br /> OPTIONAL. <br /> Though the data below is not required by law, it may prove valuable to persons relying on the document and <br /> could prevent fraudulent reattachment of this form. <br /> CAPACITY CLAIMED BY SIGNED DESCRIPTION OF ATTACHED DOCUfr4ENT <br /> ❑ INDIVIDUAL <br /> ❑ CORPORATE OFFICER Trru:OR J YPE OFDOCUMENT <br /> TITLE(S) <br />` ❑ PARTNER(S) ❑ LIMITED <br /> ❑ GENERAL NUMBER Or PAGES <br /> ❑ ATTORNEY-IN-FACT _ <br /> ❑ TRUSTEE(S) Dk-YE OF DOCUMENT <br /> ❑ GUARDIAN/CONSERVATOR <br /> ❑ OTHER: <br /> SIGNERS)OTHER THAN NAHd ED ABOVE <br /> SIGNER IS REPRESENTING: <br />
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