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SU0013124
Environmental Health - Public
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2600 - Land Use Program
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GX-92-9
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SU0013124
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Entry Properties
Last modified
4/14/2020 1:18:43 PM
Creation date
4/13/2020 10:29:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013124
PE
2600
FACILITY_NAME
GX-92-9
STREET_NUMBER
21930
Direction
S
STREET_NAME
AUSTIN
STREET_TYPE
RD
City
RIPON
Zip
95366-
APN
24324008
ENTERED_DATE
3/30/2020 12:00:00 AM
SITE_LOCATION
21930 S AUSTIN RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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• � 1 <br /> APPLICATION - GRADING EXCAVAT16N <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> :::::<.>:.:::>::»::>::<::>::::>::::>::;>::>:.::::.; <br /> . <br /> N :::::. ;::;.::> <br /> t.ATOti. <br /> •;;:;;:;::,:::::;...:. ...L'tAtLYTHE DW�IER OF TtiE PRDPEF3'fYO�A � pRQEDAG£NIT kWY�1LEJiN <br /> ........... <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> p Legal property owner(owner includes partner,trustee,trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> )tx Legal agent(attach proof of the owner's consent to the application of the property's involved in this <br /> application and have been authorized to file on their behalf., and <br /> that the foregoing application statements are true and correct <br /> fie: Dab. <br /> SllgnahKe: Dab: <br /> fie: Dab: <br /> fie: Date: <br /> Signature: Dab. <br /> -6- <br />
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