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SU0001083
Environmental Health - Public
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2600 - Land Use Program
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MS-92-59
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SU0001083
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Entry Properties
Last modified
11/12/2019 8:48:24 AM
Creation date
9/9/2019 9:00:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0001083
PE
2622
FACILITY_NAME
MS-92-59
STREET_NUMBER
0
STREET_NAME
RAY
STREET_TYPE
RD
City
ACAMPO
ENTERED_DATE
10/10/2001 12:00:00 AM
SITE_LOCATION
0 RAY RD
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\R\RAY\0\MS-92-59\SU0001083\APPL.PDF
Tags
EHD - Public
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APPLICATION - MINOR SUBDIVISION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> AUTHORIZATION$10NATUR[-!S l <br /> ONLY TI`fE OWNER OF THE PROPERTY OR AN AUTHORIZED A3ENT MAY FILE AND APPLICATION, <br /> SIGNATURE: I certify under penalty of perjury that 1 am (check one): <br /> Legal property owner (owner Includes partner, trustee, trustor, or corporate officer) of the pioperty(s) <br /> involved in this application, or <br /> ❑ Legal agent (attach proof of the owner's consent to the application of the property's Involved in this <br /> application and have been authorized to lila on their behalf., and <br /> that the foregoing application statements are true and correct. <br /> Signature: / Date: <br /> Signatur Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br />
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