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SU0013417
Environmental Health - Public
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2600 - Land Use Program
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TE-91-1
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SU0013417
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Entry Properties
Last modified
6/16/2020 11:59:11 AM
Creation date
6/16/2020 11:44:46 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2600 - Land Use Program
RECORD_ID
SU0013417
PE
2600
FACILITY_NAME
TE-91-1
STREET_NUMBER
990
STREET_NAME
FINE
STREET_TYPE
RD
City
LINDEN
Zip
95236-
APN
09304009
ENTERED_DATE
6/10/2020 12:00:00 AM
SITE_LOCATION
990 FINE RD
P_LOCATION
99
P_DISTRICT
005
QC Status
Approved
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SJGOV\gmartinez
Tags
EHD - Public
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h <br /> 1 <br /> :t.. <br /> I certify under penalty of perjury that I am (check one ) : <br /> X� Legal Owner ( s ) (All owners must sign as their names appear on the <br /> deed. ) , <br /> Corporate Officer ( s ) empowered to sign for the corporation, <br /> Owner ' s legal agent having Power of Attorney for this action (a <br /> LI <br /> notarized Power of Attorney document must accompany the <br /> application ) , <br /> and that the foregoing is true and correct. <br /> (Signature ) (Date ) <br /> (Signature ) (Date ) <br /> - ,� � ,� �• June 13 , 1986 3, <br /> (Signature ) ' (� (Date ) <br /> Linda DeHaan Lindberg - <br /> (Signature ) (Date ) <br /> Linda DeHaan Lindberg May 22 , 1987 (re-submittal ) <br /> Major Subdivision - 9 - (7/84 ) <br />
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