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SU0004164
Environmental Health - Public
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EHD Program Facility Records by Street Name
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120 (STATE ROUTE 120)
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12077
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2600 - Land Use Program
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GX-92-08
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SU0004164
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Entry Properties
Last modified
11/19/2024 4:01:42 PM
Creation date
6/2/2020 2:51:01 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0004164
FACILITY_NAME
GX-92-08
STREET_NUMBER
12077
Direction
E
STREET_NAME
STATE ROUTE 120
City
MANTECA
ENTERED_DATE
5/12/2004 12:00:00 AM
SITE_LOCATION
12077 E HWY 120
RECEIVED_DATE
7/30/1992 12:00:00 AM
QC Status
Approved
Scanner
SJGOV\gmartinez
Tags
EHD - Public
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APPLICATION - GRADING EXCAVATION <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> TON tG 7�7FilS... ::;: ::;>::: <br /> AUTHORIZA 1. <br /> ONLY THE OWNER OF THE PROPERTY OR AN AUTHORIZED AGENT MAY FILE AND APPLICAT[ON; <br /> SIGNATURE: I certify under penalty of perjury that I am (check one): <br /> Ex Legal property owner (owner includes partner, trustee,trustor, or corporate officer) of the property(s) <br /> involved in this application, or <br /> ❑ 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 /> � / I <br /> Si <br /> yr,ature: - . �/ ' , // IGr�ZG; Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> Signature: Date: <br /> -6- <br />
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