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SU0012078
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1800166
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SU0012078
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Entry Properties
Last modified
5/7/2020 11:35:38 AM
Creation date
9/5/2019 11:18:20 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012078
PE
2611
FACILITY_NAME
PA-1800166
STREET_NUMBER
20500
Direction
S
STREET_NAME
HOLLY
STREET_TYPE
DR
City
TRACY
Zip
95304-
APN
21216020
ENTERED_DATE
11/27/2018 12:00:00 AM
SITE_LOCATION
20500 S HOLLY DR
RECEIVED_DATE
12/4/2018 12:00:00 AM
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\H\HOLLY\20500\PA-1800166\SU0012078\APPL.PDF
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EHD - Public
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APPLICATION - MAJOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> c'•• FILE NO: MS- <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 from any claim, <br /> action or proceeding against the County arising from the Owner]Agenfs 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 this <br /> application,or <br /> ❑ Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and have been <br /> authorized to file on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: Steve Cortese Signature: L17-te:6—7^ZV tF <br /> Manager, Holly Commerce Center,LLC <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> F:\DEVSVSYlenning Applicatbn Fm. MAJOR SUBDIVISION(Rev.05-11-09-04) Page 7 of 9 <br />
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