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FROM : BELINDA P. BLRCKIE • PHONE NO. : 408 260 8627 • Nov. 07 2005 08:35PM P1 <br /> '-,',1 <br /> SAN J(?AQLTN <br /> N0� - 02005 E o raTA��rAr rxDr�a�A, 5207- <br /> 304 East?Neber Avenue,3`4 Floor,Stoekwn,Cft 93202-2708 <br /> ENVIRONMENT HEALT}leyefnone:(209)468.34201rax:(209)464"0138 V'eb:waw.sjgor.arg/ehd �j//) <br /> pERMITlRV10ES <br /> PUBLTC M0U5 RELEASE APPLICATION <br /> adr,MO,.,g$Wok Gy'. <br /> AAPL1CAKt, <br /> APMEM. fACSnSa.G: <br /> PHONE(I pm" ' <br /> TENTknc <br /> ATIVE'APPOiNrMEHT aA'rt s dauPCa1-- eeta6m �Yae+eci <br /> (A+tewa @flew 10 pwlmaaa days Rom data et apppCat <br /> Q CHEOK BOX TO t7(PtAtr6 R{:t1UEST•Le7.ee F�IGS'OR CHECK ONLY).to WWT M00MG;D IN 7 BUSeIESs DAYS <br /> DATE . ---- <br /> 1(iNATURE OF APPLECANT <br /> UNITd8TR16U7W01 =Unita 4 GIM1tC Unaa d Othor(etoounnldBsuhiwF+at <br /> FRE ADD EHD USE ONLY <br /> 6. <br /> ypeeMe nate R"o�}InWctna6en Regtxstaa:From — R r <br /> ENVIRONMENTAL HEALTH DEPARTMINf FILES <br /> ���•,,,� G ewuaNa AaAteNexr p S0 v WA"FAC r <br /> i. UtltLeae�nTSnspk* n)(LOF') ❑F=PA"M MDA Y . <br /> OrAnv <br /> xguKM0MTAW4MwMp4fPAWA4) 000µ7!S8!ROO �ptaArltllTM K YOa.fra <br /> PQMMIMMAADOOWI�=F Toa O t•0V WA a L.lYuyllie Ar►uOAmNS11lf <br /> O TATwolo7 pWMIG. O Dim.Q%fAV <br /> t3pjt ALWA=F 6atnc3'6nax'rt A AVAn.AMaroRR • a*WKY-FFWAY"! Axad�M • N.t- Ays— <br /> y(att s ii4e*fiGffip apova by checking the <br /> 1. Lbt Up tp ten addraa+ces lathe*pace ab* J8T be Waye, Select Itte l sd 1ums <br /> tMAI <br /> tact <br /> boges). At feast ons tllo typefor addWc,,sl a1i stance s <br /> s. Address ranpss wM not be aoespted• eased the next tuskless day. <br /> tits pppftcaUone received offer$100 pp+w1U be pros Wtmentfvr teviowwill be eonrmwed <br /> The 9HO WIN nattly the appa0ant if any smut"wdst- An appy uttt of five buslnesa <br /> appcxbdmately fen(10)days a)ftar re OO of moo^ <br /> The Thea hill be held for a M=Wn <br /> days for nMW. p ppo(pb{tents should be sohad6{K►a 9lmmedietaty aYBlabls fat rWiew. A 67d <br /> 3. A filo that to aotiveb'being Worked oo by END staff Mq <br /> apppcaUon rttay be submUlod when the bills 2VOabW an znd by EHQ staff at the expense of the <br /> g, Arty tUe hot resumed kt the same condition u Wagged VAI be w a anlu dsposltprior to r VkW' . <br /> apptkattr. Futua►fna nviovss by the saran appUcant Y <br /> rx�., <br /> Rae uvz-0s< . <br />