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BAN JOAUVILM C:7UNTT <br /> PUBLIC HEALTH GRRVIL199 <br /> .. E-"TIEOvlm2-MI. Bz T.TLT nnUSI'CM � 71 c <br /> rUBLIC kZCo=DS gELE Sx APPLI/C`ATIM I & <br /> APPL,ICAN•T 4✓ C�G1Lv+����1 -._.._PHOP:E <br /> AOI`ll_ ( �{_I -(�(�a <br /> AUU_RL•:.SS f (n vptlGron t�F[��TL (1. <br /> P_C SNCY NAMIi PHONE <br /> NO <br /> }=LL$ J*R12RF$z F}OSIl1ESS OR BUScP,BYL_�R <br /> FACILM TYPE OF FILE <br /> 7(1's RtE <br /> U,r <br /> :.'. 'f1 ...�._:_LIt1YtL713�� ,�531xk ^) Inr.. (fii <br /> a)nani�csrrr,� <br /> .> /'4won.rz ;fTx.k�T„l F:L3.Q. •S,)PL.y l),ti`r <br /> 3)t-)Lo CN�ra <br /> SIS—U AWQ OCLA-'I iu J rec.,' <br /> rr�'-ice ) i GW4a-IEv �-sxr-ro.J Fns No,�s _LU_SS� _ .. <br /> It" /OM1 U• �yllg-7;_X- iilKlcllxl � � __ <br /> 771C [.C-Y WCT-(U. <br /> �.?�L( AI J4• a -+ Si-frcrnr� ;�.L o- 735T- <br /> i� Lu:>r fcoc-r=s�' <br /> C:. P'ux45TnaxnL ,N� II <br /> � _7_>z� N ' )r ilrrkfpr� _ WSr! r',TKrIeS� <br /> may� —' �4�v.+nn:Q A•7,Lu>r = C->I.ena/L{vT <br /> U.CNP2rty , Sizo-1R.. <br /> T7(IS =rTLE IS '"OBJECT TO Tits REO77TUMrC HTS IDRPLIFIYU IN TUR PUBLIC HHALIM <br /> SERVICES/HRT,ZROMMMAL 0H➢ILTH DIVTSIOD7 (RHD1 POLICY #92-007, ORDTMWCE CODE OF <br /> SAF JOAQUIN COURTZ. END PERS AND SRRVICE CR=GE RRSOLUMONS, SMLTR IATRR CODE, <br /> GO DRISRI CODE AND T71E 6VIDEMILT> CODR. <br /> R. A e4UTMM OP TEN (10) PERUSE ADDRESSES PER KRUMST. <br /> PURLIC PILRB/RECOPUS RRVISW AHS BY ALEQjF MEM('—g=. APPOINTMENTS ARN <br /> ARRANGED EY CALLING (209)468-3422. OPPIC. HOOKS FOR APPOINEME371'S APR SCHBDMUD <br /> W)rMAY IILMI FFTOAT R CLODIER ROI.IOAYS. 9:00 A-M. TO 12+00 WON AND 1:00 P.M. TO <br /> 4:J0 P.M. <br /> 3. A PUBLIC RT[COPDS RELEA4R APPLICATION (PRRA) IS T7rtQIII3,ED. <br /> 4 . PUBLIC PILES/RRCOP_D6 NOT RSICRNED IR ':AE SAKE CONDITION AS RW nTD WILL <br /> RR C0RR8CT8D BY THE M STAFF AT THE M3'MK OF TRE APPLIMYT. THIS ADDLTICNAL <br /> 92RVICFZ WILL HE $Tr.Tan TO 170; APPLICAWr POR PAYMRiIT. (S= mw POLICY 91-007) <br /> S. ORT017WAL PUBLIC PLLEr./RECORDS YNALL N/OT BR RirbUVSD P'RCK THz Oro PREffiISES_ <br /> R T IJRE OF APPLICANT rJ '/WA UATR <br /> J&--_._ <br /> SIGMTURE OF RRLRASIFG OB71CIAL DATE <br /> IIIrRI !'.N1 <br />