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;;atn Jruyutn Cnunly <br /> tinvinnnnanlal Ilaollh UopaNuunrl <br /> INUt1 I to folton Avo <br /> iucklrrn, CA OSO4 !i-623 ".. <br /> snlri<:cl: celz rlrn n 1. 1 1' or- tu_cr.>Itr1 rcr rrru c�wrlr- rts role: <br /> Country Market ___ --- ---..--- — --_ <br /> sl I I : NOWR <br /> Ar1i >r:GSS: _ 10476 W . Linne Road , Tracy CA <br /> Conlplole Jti if ihero nru inullipl0 c;it0 Innl.lownnrtt . <br /> Ceruploto #2 if you oro 1110 aoly ailo Itn downor. <br /> 1 , In :u:atntlarlco wilh Section 252,97. 16(n) of Chapter 6. 7 of the Health & Safety Godo: <br /> Vn111a of P1,1 many or Activo Rosponsihio Warty : <br /> I John Muni z , Jr . corlih7 that the following is a <br /> cornplele list of c(nrent record fee title owners and their mailing addresses for Ilia <br /> above site: <br /> 1 ) Saleh and Elizabeth Ann Eltareb <br /> 1627 East Anderson Street <br /> Stockton , CA 95205 <br /> 2 ) John Muniz , Jr . <br /> 11931 Mountain View Road <br /> Tracy , CA 95376 <br /> 2. in accordance with Section 25297. 15(a) of Chapter 6. 7 of the Health & Safety Code: <br /> Flame of Responsible Party : <br /> I, � � ,�, / u � certify I am the sole landowner for the <br /> above site. t rG <br /> Sincerely, <br /> ren tqc late <br /> Generated by CamScanner from intsig . com <br />