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SU0004002
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KASSON
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2600 - Land Use Program
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MS-01-38
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SU0004002
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Entry Properties
Last modified
5/7/2020 11:30:30 AM
Creation date
9/6/2019 10:34:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004002
PE
2622
FACILITY_NAME
MS-01-38
STREET_NUMBER
25023
Direction
S
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
25023 S KASSON RD
RECEIVED_DATE
11/6/2001 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\K\KASSON\25023\MS-01-38\SU0004002\APPL.PDF \MIGRATIONS\K\KASSON\25023\MS-01-38\SU0004002\CDD OK.PDF \MIGRATIONS\K\KASSON\25023\MS-01-38\SU0004002\EH COND.PDF \MIGRATIONS\K\KASSON\25023\MS-01-38\SU0004002\SURV MEMO.PDF
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EHD - Public
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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <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,action or <br /> proceeding against the Owner/Agent's project. <br /> 1, further, certify under penalty ofperjury that I am(check one): <br /> O Legal property owner(owner includes partner, trustee, trustor,or corporate officer)of the property(s)involved In this <br /> application, or <br /> of Legal agent(attach proof of the owner's consent to the application of the property's involved in this application and <br /> have been authorized to Nle on their behalf.,and that the foregoing application statements are true and correct. <br /> Print Name: John Trinkle Signature: 4,.I/1--, Date: /U-y- O/ <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> -s- <br />
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