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SAN J 0 A QU I N FZECEIVw1 ro ,mental Health Department <br />PUB IG RECORDS RELEASE APPLICATION <br />42�� <br />• EW RONMENTAL WAME -7-11 _00 � �4 <br />E1,413 LOG NUMBER <br />- <br />APPLICANT, Chris Olsen RUSINESSIAGENCY- aEl <br />AD -DRESS: .486 Larkin Valley Road cff.yjSTATEjzp, Watsonville, CA 95075 <br />PHONE (1): 831-262-8859 PHONE (2): FAX OR E-mAjoarinusolsen <br />Please allow 10 hu%i riess ria roe date oi appt nilttal fai- the fecards to be available.. <br />Staff win contact you nge an tip aM time to review the requested records. <br />SIGNATURE OF APPLICANT tDATE 7-5-18 <br />1. Listp so ten addresses in the stace below. ranges WILL be accepted_ Select the typeils] of files from tITt- <br />flist below by checking the approp-ikAeJxhvA-'AJ least one file t)rpe MUST be selected- Fax to 12091464-0130. mail to JbI <br />address indicated below, or email to jnfDk5sjcehd.r;*m. Applications received after 3:00 pm will be processed dw next <br />business day. <br />2. For assistance in iderrUtying the nature, and cantent of END records, please contact EHD at the number noted below. <br />2. The EHP wil notify the applicant if any EHO files exist An appointment for review will be confurned approximately ten J1101 <br />days after receipt of applicalirin. 'The files will be held for a maximm of five business -days f nor review. Appointments <br />should be scheduled accordingly. <br />4. Any file not cetwned in The same condifionss released will be reorganized by EHID staff at tho expense of the appikanc <br />Futme file reviews by the same applicant may require a 51,52 deposit priorloreview_ 7/�,� <br />WELL AND SEPTIC PERMIT RECORDS, ARE AVAILABLE FOR REVIEW.- MONDAY -FRIDAY a.010 AM-S:DCPM (EXCLIJUM6 HOL111AYSI. <br />Electronic Information- n List [I Map - Description; <br />SpecrFlr Date Rangeof Iniormabon RequestEd From <br />W— <br />Ask <br />ENVIRONMENTAL <br />HEALTH DEPARTMENT <br />FILES <br />Fitt ADDRESS <br />-5 WO not tie acreplea I <br />I <br />EHD USE ONLY <br />Lt%jft7,%rX *r <br />stmet A <br />a1mrt WXM <br />Clky <br />X cmmun Ere 1--^Fj <br />Mr +:mmnsli Sbe �N-jr-LffFi <br />MBe Asi �vv <br />�-4zwuq-t OnU <br />;---MZb1d Fk:4'0 <br />akL;,;--,7uxA Ta,* <br />i <br />80-0 E. <br />Woodbridge Road <br />0 014wr <br />Wuoo) 00 ISO <br />M5 <br />!JtT Ma= M.. Atte kwi <br />iiimma Ualmim <br />Spli P Rftmme 7R�-Se <br />50111'60219V rK"1? 00*110- <br />A <br />F3od racvy <br />?m Ma <br />Lxn--' U� AjAmm=.. MIE, <br />Bezzr pwlw <br />gam i Ormut Tom <br />1wWnwmel T--gitne" Ftw <br />fir' I -L -law -C <br />AIT, +W, Wel <br />i�sal age <br />0 weOnt, wase r-Imir <br />TagmaTmc. U. <br />XL- —wr <br />Wrr <br />0 Uhn 'Ptsir Entc-,) <br />' "BOILED AREA -RHOU EOPALV'"' <br />-7 - t Lb -A'& L <br />13 Records proyi d by Starf-PPR Contpkte. n1b aglx <br />CSjjfrjj-)l_, K-5 I T 2094U -,"2f -W'! F 2AJ9 46-4U1.38- wiviv 61'. Ild-ro <br />_52 ;e m <br />