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SU0003520
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WATERWELL
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8672
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2600 - Land Use Program
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PA-0300124
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SU0003520
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Entry Properties
Last modified
5/7/2020 11:29:59 AM
Creation date
9/9/2019 11:03:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0003520
PE
2690
FACILITY_NAME
PA-0300124
STREET_NUMBER
8672
Direction
W
STREET_NAME
WATERWELL
STREET_TYPE
WY
City
TRACY
ENTERED_DATE
5/3/2004 12:00:00 AM
SITE_LOCATION
8672 W WATERWELL WY
RECEIVED_DATE
4/1/2003 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\rtan
Supplemental fields
FilePath
\MIGRATIONS\W\WATERWELL\8672\PA-0300124\SU0003520\APPL.PDF \MIGRATIONS\W\WATERWELL\8672\PA-0300124\SU0003520\CDD OK.PDF \MIGRATIONS\W\WATERWELL\8672\PA-0300124\SU0003520\EH COND.PDF
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EHD - Public
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' 6 <br /> X <br /> ' 1 <br /> ' ! <br /> LOT LINE ADJUSTMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> I AUTHORIZATION SIGNATURES <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AN APPLICATION <br /> 1,the Owner/Agent agree, to defend,indemnify,and hold harmless the County and Its agens,officers and employees from any claim,action <br /> or proceeding against the Owner/Agent's project. <br /> 1,further certify under penalty of perjury that I am(check one): <br /> o Legal property owner(owner includes partner,trustee,trustor,or corporate officer)of the property(s)Involved In this <br /> application,or <br /> o Legal agent(attach proof of the owner's consent to the application of the property's Involved In this aplication and <br /> have been authorizaed to file on their behalf,and that the fo oing application statements are Lure and correct. <br /> Print Name: Z Signature: 3 <br /> 7 Date: <br /> i <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> Print Name: Signature: Date: <br /> I <br /> I <br /> 7 <br /> I <br /> i <br /> I <br /> I <br /> - <br /> ... <br /> I <br /> I <br /> 1:41 PMPA_LA98 February 1,1999 <br /> -4- <br />
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