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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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D
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DROGE
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12811
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3400 – Cannabis Program (Commercial)
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PR0546332
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COMPLIANCE INFO
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Last modified
10/25/2021 10:31:01 AM
Creation date
10/25/2021 10:11:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
3400 – Cannabis Program (Commercial)
File Section
COMPLIANCE INFO
RECORD_ID
PR0546332
PE
3423
FACILITY_ID
FA0026251
FACILITY_NAME
CULTIVA LLC
STREET_NUMBER
12811
STREET_NAME
DROGE
STREET_TYPE
RD
City
ESCALON
Zip
85320
CURRENT_STATUS
01
SITE_LOCATION
12811 DROGE RD BLDG C & D
P_LOCATION
06
QC Status
Approved
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EHD - Public
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Property Owner's Statement of Consent <br /> I, Doro., t -ram r-4 _ the undersigned legal owner of record. hereby grant permission to <br /> v <br /> P'er(15 <br /> Applicant _ �,, f, LlA L L Phone: <br /> Mailing Address: z, / _ �� 1/,1 5 Aa) 2 1 ,SC o 5W <br /> to operate a cannabis business business on the property described below. <br /> The subject property is located at . t G ti1/267 M269 <br /> D <br /> Assessors Parcel Number `I O ' C " ac) 0 <br /> l i <br /> Printed Name of Owner of Recorder <br /> Address of Owner of Record 12 l l r' +4 � ccs � . ClC✓ 20 <br /> Phone LZCfI- - ip -5 (1 Email r'lr > , (-ory <br /> Signature of Owner Record x > >Date. CI - L- Zc)2o <br />
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