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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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STATE OF ) <br /> COUNTY OF-,).065 A. ) <br /> On Oc ,2007,before me, g�,), -�. �,rr-,� t [Notary <br /> Public],personally appeared I-UQ A , D personally known to me—OR—❑ <br /> proved to me on the basis of satisf�evidence to be the person whose name is subscribed to <br /> the within instrument and acknowledged to me that he/she executed the same in his/her <br /> authorized capacity,and that by his/her signature on the instrument,the person,or the entity <br /> upon behalf of which the person acted,executed the instrument. <br /> WITNESS my hand d official seal. <br /> LNERAL NOTARY•Stale of Nebraska <br /> Signature — PAUL G.FARRELL <br /> h!y Comm.EXp.Dec.2D,2DD9 <br /> STATE OF ) <br /> COUNTY OF ) <br /> On ,2007,before me, [Notary <br /> Public],personally appeared , 0 personally known to me—OR—Q <br /> proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to <br /> the within instrument and acknowledged to me that he/she executed the same in his/her <br /> authorized capacity,and that by his/her signature on the instrument,the person,or the entity <br /> upon behalf of which the person acted,executed the instrument. <br /> WITNESS my hand and official seal. <br /> Signature <br /> 926808 v5 <br />
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