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SU0003221
Environmental Health - Public
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EHD Program Facility Records by Street Name
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MOFFAT
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10111
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2600 - Land Use Program
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SA-92-03
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SU0003221
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Entry Properties
Last modified
5/7/2020 11:29:43 AM
Creation date
9/6/2019 10:14:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003221
PE
2633
FACILITY_NAME
SA-92-03
STREET_NUMBER
10111
Direction
S
STREET_NAME
MOFFAT
STREET_TYPE
BLVD
City
MANTECA
Zip
95336
ENTERED_DATE
11/6/2001 12:00:00 AM
SITE_LOCATION
10111 S MOFFAT BLVD
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\M\MOFFAT\10111\SA-92-03\SU0003221\APPL.PDF \MIGRATIONS\M\MOFFAT\10111\SA-92-03\SU0003221\CDD OK.PDF \MIGRATIONS\M\MOFFAT\10111\SA-92-03\SU0003221\EH COND.PDF
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EHD - Public
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APPLICATION - SITE APPROVAL <br /> ( d # SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> I AUTHORIZATION SIGNATURES <br /> 14, <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AND APPLICATION. <br /> d <br /> ' SIGNATURE:t I certify under parially of perjury that I am (check one): <br /> ❑ Legal property owner (owner includes partner,trustee,truster, or corporate officer) of the property(s) involved in this application, or <br /> 7�U 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 <br /> that the(Fforegoing application statements are true and correct. <br /> 3 � t <br /> Signature: Data: <br /> Signature: ; Date: <br /> Signature. . Date: <br /> Signature: Date: <br /> Signature: Date: <br /> ( <br /> t <br /> 1 <br /> i t <br /> I <br /> i <br /> t$ 1 <br /> k <br /> i 1 <br /> t <br /> 7 <br /> Z <br /> { 1 <br /> i <br /> a <br /> r <br /> 4 � i <br /> I <br />
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