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SU0010470
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ROTH
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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 CALIFORNIA } <br /> ) ss. <br /> COUNTY OF z <br /> On 2ni o before mepersonally <br /> appeared :L4Z,,y�, Kos , who proved to me on the basis of satisfactory <br /> evidence to be the person(s)whose name(s)is wc-subscribed to the within instrument and <br /> acknowledged to me that lie/gheAkey executed the same in hislheW"r authorized capacity(j"), <br /> and that by his/her47 signature(s)on the instrument the person(s),or the entity upon behalf of <br /> which the person(s)acted,executed the instrument.I certify under PENALTY OF PERJURY <br /> under the laws of the State of California that the foregoing paragraph is true and correct <br /> WITNESS my hand and official sea}. <br /> Now�ao D. CMa <br /> Commftlon 0 173230 <br /> Nolory PubNc-CaWornb <br /> ZLas AnSeW C <br /> Signature p� ` (Seal) a Le w i <br /> M3465-10 <br />
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