Laserfiche WebLink
Jj1 03 01 09: 28a p. 2 <br /> OQ-26/2091 -4:34 2094693433 FIFTH FLOOR PAGE 03 <br /> REV, 04109/99 <br /> SAN JOAQUIN COUNTY 8 PUOLIC HEALTH SERVICES 8 ENVIRONMENTAL ti EALTH DIVISION <br /> hIASTERFIU RECORD INFORMATION <br /> Dr.n tDF boiosaa CNFF <br /> GAE <br /> OWNER FILE C fev✓OWNER GY,f M1 P fV! mEnO <br /> COMPLETE THEFOLLOWING BUSINESS OWNER INFORMATION: RaF <br /> <br /> <br /> <br /> o•.raesta.¢rooms oo� b f <br /> CRY y zo <br /> LJ•�G o." Manna:aCae d(cPnsvD <br /> OM1M.uRG Ar.++.�, tyDlFffRLMAvm Owner AtncW ,0, D I �/ �j, <br /> CORPORA MN INDIVIDUAL PARTNE¢$NIP LOCAL AGFNCV CawfY AGENCY STA1F AGENCY Fm AGENC•f t OTHER FE <br /> FACILITY FILE •] <br /> 1 8 CROS5REFIDI ACCOUNT ID �^ O <br /> FACIFRY IDR (///�D ✓ <br /> COMPLETE THE FOUOWINCr BUSINESS FACILITY INFORMATION: <br /> yFe,FvrF•Oun NwK R.uwueF^'a NnuC c�ME HEwld rE¢snit 1 <br /> � UiSTdn lL F s� ii' JGIe Ts <br /> FaC4RV..PPKYS OtCG11J6L1/I.VeaFn - v— 33- <br /> �t1v r n <br /> CAY�CC.w"A..=..RL63i T���-y SGA- ai c�� Spy <br /> OP4V W51,iRVNRRc�n tr�.nancoac <br /> IfFV I YlY¢ <br /> nn«soM1 a Cope IX(RySu� <br /> wfwuR rEGNR MANrIG wDO¢fa5 Ell WffD EM evrn(ac+Ry A�ZII U <br /> MCRna AEGleavCW <br /> A w'`va <br /> 51«DOE'; Z APN2 7) q -73 <br /> A— A Rra1 f m,dchagas OWNER FACILITYIBUSINESS _ <br /> 13D.Ltur. AND CO\IPLIANCE ACNNOIVI.FOGNI£NT: 1, the undersigned Applicant, certify that I am the Owner, OPeratur, or <br /> Anflmri:ed Agent of this ItusinLys,and [acknowledge that otl P£RATtT Fees,PENALTIES,EATORCE"EAT C1L{RGES andlor"OURLY <br /> CELIRGl:5 associated with this operrlinn trill be I¢illed to me at the atldress identified above as the ACCPyyTALDRFSS for this site. 1 <br /> neo certify lhal all info r.naiwn provided on this application is true and correct;and that all regulated activities will be performed <br /> in accordance with all Applicable SAN Jf1AQ j,N CPUN"EY Ordinance Codes and/or Standards and STATE and/or FEDERAL- Laws <br /> and Regulations. <br /> sIGeATunE <br /> MRICAM NANF(RRase N'.V) / <br /> r Ade✓. <br /> r � <br /> Ac¢aR+Nq orae FFOC.w.yumlAes.d ny Daa <br /> AppiD�wG ev oa. . <br />