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SU0012864
Environmental Health - Public
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2600 - Land Use Program
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MS-87-46
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SU0012864
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Last modified
2/10/2020 11:41:57 AM
Creation date
2/10/2020 11:06:06 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0012864
PE
2600
FACILITY_NAME
MS-87-46
STREET_NUMBER
31919
Direction
S
STREET_NAME
BIRD
STREET_TYPE
RD
City
TRACY
Zip
95376-
APN
25330019
ENTERED_DATE
1/13/2020 12:00:00 AM
SITE_LOCATION
31919 S BIRD 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 , or <br /> corporate officer . ) <br /> LJowner '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 /> (Signature ) (Date ) <br /> �i <br /> -8- ( 9/85) <br /> . � . Plar•.-44 <br />
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