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SU0000385
Environmental Health - Public
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EHD Program Facility Records by Street Name
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2600 - Land Use Program
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MS-90-31
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SU0000385
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Entry Properties
Last modified
2/17/2021 10:09:27 AM
Creation date
3/27/2020 8:59:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0000385
PE
2622
FACILITY_NAME
MS-90-31
STREET_NUMBER
15210
STREET_NAME
SIXTH
ENTERED_DATE
9/19/2001 12:00:00 AM
SITE_LOCATION
15210 SIXTH
QC Status
Approved
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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 /> owner ' s legal agent (attach proof of the owner 's consent to file <br /> U <br /> the application) , <br /> and that the foregoing is true . and correct. <br /> / �nature <br /> (Date ) <br /> (Sii <br /> i <br /> _ 6 _ (6/86) <br /> Minoic Subdivision <br />
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