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SU0002156
Environmental Health - Public
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2600 - Land Use Program
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UP-01-03
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SU0002156
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Entry Properties
Last modified
5/7/2020 11:29:03 AM
Creation date
9/6/2019 10:01:19 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0002156
PE
2626
FACILITY_NAME
UP-01-03
STREET_NUMBER
5113
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
STOCKTON
ENTERED_DATE
10/23/2001 12:00:00 AM
SITE_LOCATION
5113 E MAIN ST
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MAIN\5113\UP-01-03\SU0002156\APPL.PDF \MIGRATIONS\M\MAIN\5113\UP-01-03\SU0002156\CDD OK.PDF \MIGRATIONS\M\MAIN\5113\UP-01-03\SU0002156\EH COND.PDF
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EHD - Public
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USE PERMIT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION SIGNATURES <br /> ONLY.THE OWNER OF THE PROPERTY ORAN AUTHORIZED AGENT MAY FILE AN APPLICATION. <br /> I, the Owner/Agent agree, to defend, indemnify, and hold harmless the County and its agents, <br /> officers and employees from any claim, action or proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty of perjury that I am (check one): <br /> 0 Legal property owner(owner includes partner, trustee, trustor, or corporate <br /> officer) of the property(s) involved in this application, or <br /> 0. Legal agent(attach proof of the owner's consent to the application of the <br /> property's involved in this application and have been authorized to file on their <br /> behalf., and that the foregoing application statements are true and correct. <br /> Print Name: Tea Oh Signature: Date: 11-20- 0 <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br />
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