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SU0003921
Environmental Health - Public
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EHD Program Facility Records by Street Name
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N
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99 (STATE ROUTE 99)
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11396
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2600 - Land Use Program
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PA-0400203
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SU0003921
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Last modified
11/19/2024 1:58:50 PM
Creation date
9/8/2019 12:51:13 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003921
PE
2666
FACILITY_NAME
PA-0400203
STREET_NUMBER
11396
Direction
N
STREET_NAME
STATE ROUTE 99
STREET_TYPE
RD
City
LODI
Zip
95240
APN
05926010
ENTERED_DATE
5/11/2004 12:00:00 AM
SITE_LOCATION
11396 N HWY 99 E FR RD
RECEIVED_DATE
5/10/2004 12:00:00 AM
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\N\HWY 99\11396\PA-0400203\SU0003921\EH PERM.PDF
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EHD - Public
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v,, <br /> APPLICATION - ZONE RECLASSIFICATION <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 /> the Owner/Agent agree, to defend,Indemnify,and hold harmless the County and Its agents,officers and employees from any claim,actio <br /> or proceeding against the OwnerlAgent's project. <br /> 1,further certify under penalty of perjury that I am(check one): <br /> Legal property owner(owner includes partner, trustee,trustor,or corporate officer)of the property(s)Involved in this <br /> application,or <br /> o 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 file on their behalf,and that the foregoing application statements are true and correct. <br /> Print Name: I Pv✓�� ��t l�. f!_ Signature: Date: ! � <br /> Print Name: Signature: Date. <br /> i <br /> Print Name: Signature: Date., <br /> Print Name: Signature: Date: <br /> E <br /> i <br /> 1 <br /> f: <br /> i. <br /> 4' <br /> ° 'anti•.. ,'_. .wF_r .,y...__ �.-- _.: .-._ .. <br /> t <br /> 1:41 PMPA_LA98 February 1,1999 <br /> i -FJ- <br /> i <br />
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