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SU0010470
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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PA-1500064
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SU0010470
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Entry Properties
Last modified
5/7/2020 11:34:35 AM
Creation date
9/9/2019 9:09:53 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0010470
PE
2620
FACILITY_NAME
PA-1500064
STREET_NUMBER
1000
Direction
E
STREET_NAME
ROTH
STREET_TYPE
RD
City
FRENCH CAMP
APN
19803020 23 27 28 29 31 19820001 05 16
ENTERED_DATE
4/20/2015 12:00:00 AM
SITE_LOCATION
1000 E ROTH RD
RECEIVED_DATE
4/14/2015 12:00:00 AM
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\R\ROTH\1000\PA-1500064\SU0010470\APPL.PDF \MIGRATIONS\R\ROTH\1000\PA-1500064\SU0010470\CDD OK.PDF \MIGRATIONS\R\ROTH\1000\PA-1500064\SU0010470\EH COND.PDF
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EHD - Public
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CALIFORNIA <br /> ALL-PURPOSE <br /> ACKNOWLEDGEMENT <br /> STATE OF CALIFORNIA ) <br /> COUNTY OF � 2i ) <br /> On _,?Z± v3 before me, <br /> DATE NAME,TITLE OF OFFICER-E.G.,' N E,NOTAAY PUBLIC" <br /> personally appeared.�����4 �,O� <br /> personally known to me(or proved to me on the basis of satisfactory evidence)to be the person(s) <br /> whose name(s))"are subscribed to the within instrument and acknowledged to me that Ile/o/ <br /> they executed the same in * r/their authorized capacity(ies), and that by Ws/ r/their <br /> signature(s)on the instrument the person(s),or the entity upon behalf of which the person(s)acted, <br /> executed the instrument. <br /> WITNESS my fwd and official seal. <br /> R CUMMINGS <br /> EQIVERNON� <br /> MM.* 0 CAU72MI" "Lo N"SEAL cosT�COU( )NOTARY PUBLIC SIGNATURE V. <br /> . FE$.b,2005 <br /> OPTIONAL INFORMATION <br /> TITLE OR TYPE OF DOCUMENT GRANT DEED <br /> DATE OF DOCUMENT 3/18/03 NUMBER OF PAGES <br /> SIGNER(S)OTHER THAN NAMED ABOVE <br /> 111{111 <br /> 2°ef 0 8{ { E 11l{111{{ { {{I i {{ 141 {{1 9 8�R <br />
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