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SU0004558
Environmental Health - Public
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EHD Program Facility Records by Street Name
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12 (STATE ROUTE 12)
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7521
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2600 - Land Use Program
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PA-0400372
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SU0004558
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Last modified
11/19/2024 3:48:12 PM
Creation date
9/9/2019 10:27:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004558
PE
2690
FACILITY_NAME
PA-0400372
STREET_NUMBER
7521
Direction
E
STREET_NAME
STATE ROUTE 12
City
LODI
APN
05103073 & 80
ENTERED_DATE
7/14/2004 12:00:00 AM
SITE_LOCATION
7521 E HWY 12
RECEIVED_DATE
7/13/2004 12:00:00 AM
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\sballwahn
Supplemental fields
FilePath
\MIGRATIONS\T\HWY 12\7521\PA-0400372\SU0004558\EH PERM.PDF
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EHD - Public
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APPLICATION, iI��EADJUSTMEf�T <br /> 4..1, ; 04^4'ks.i -.i <br /> JOAQUIN,COU1TYCO�IMUNITYiD�OpENT �a <br /> r <br /> f 8rarvATl1RE: 1 ced y raider perraity of pogwy►that i am(cheek one): <br /> Legal property owner(owner includes partner,truslse,trustor,or corporate officer) of the prop"(i) <br /> krvohmd In this application.or <br /> O legal agent(attach proof of the owners consent to the appMmdors of the property's involved in this <br /> application and have been authorized to Ole on their behalf.,and <br /> that the foregoing oppOoetkm statements are true and correct. <br /> now <br /> sitsc Dwtase <br /> s Dow <br /> DOW <br />
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