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SU0012699
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WHISKEY SLOUGH
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4301
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2600 - Land Use Program
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RV-88-5
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SU0012699
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Entry Properties
Last modified
12/18/2019 10:05:22 AM
Creation date
12/18/2019 9:57:22 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012699
FACILITY_NAME
RV-88-5
STREET_NUMBER
4301
Direction
S
STREET_NAME
WHISKEY SLOUGH
STREET_TYPE
RD
City
HOLT
Zip
95234-
APN
13109014
ENTERED_DATE
12/17/2019 12:00:00 AM
SITE_LOCATION
4301 S WHISKEY SLOUGH RD
P_LOCATION
99
P_DISTRICT
003
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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SITE ALTERATIONS <br /> Do you propose any site grading: No ❑ Yes If. yes,. describe : <br /> SUK-1 61614T 6aacs- Fea. R►iN 914?4 <br /> o� <br /> Will' .any vegetation be removed: No Yes ❑ if yes , describe: <br /> PROPERTY INFORMATION <br /> Property-Address 4$01- `3• So-&D 96214 - <br /> Assessor 's Parcel Number (s ) 16i -0c)0 - 14 <br /> - ❑ SIGNATURE - - <br /> certify . under penalty of perjury that I -am _(check -one ) : <br /> Legal Property Owner (owner includes partner, trustee, trustor, <br /> or corporate officer ) , , <br /> LJ Owner ' s legal agent (attach proof of the owner ' s consent to file <br /> the application ) , ` <br /> and that the foregoing is true and correct . <br /> �L�l 001 0.1 a� _IX� y 4�= <br /> (Signature ) ,(Date ) <br /> Mobilehome/Recreational <br /> V£Yiicle Park Permit - 6 - ( 9/86 ) <br />
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