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SU0012751
Environmental Health - Public
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2600 - Land Use Program
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MS-87-96
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SU0012751
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Last modified
2/6/2020 1:04:38 PM
Creation date
2/6/2020 11:53:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012751
PE
2622
FACILITY_NAME
MS-87-96
STREET_NUMBER
26800
Direction
N
STREET_NAME
HANSEN
STREET_TYPE
RD
City
TRACY
Zip
95376-
APN
20923011
ENTERED_DATE
12/30/2019 12:00:00 AM
SITE_LOCATION
26800 N HANSEN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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❑ SIGNATURE <br /> I certify under penalty of perjury that I am (check one ) : <br /> Legal Property Owner (owner includes partner , trustee, trustor , <br /> or corporate officer ) , <br /> XX 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 /> J <br /> ( i nature ) (Date ) <br /> Minor Subdivision - 6 - (6/86 ) <br />
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