Laserfiche WebLink
P 14 a.52 X � <br /> r r I <br /> deC�( FSAN JOAQUIN COUNTYr-�. PUBLIC HEALTH SERVICES �h �rscy 9v <br /> ENVIRONMENTAL HEALTH DIVISION <br /> PUBLIC x�COR,DS RELEASF� APPLICATION <br /> at.rnf- HehderSan <br /> APPLICANT uz2 n m nLP ONE NO <br /> ADDRESS LIDOS . WI LSon L�1bcKT0 ) ICA RSao '5 <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> Ql\ 51roGL-t-On Unl2S5 npyo <br /> FILE ADDRESS LEAD AGENCY DATE <br /> ckar VIII <br /> 8015 <br /> 3333 r3 U\X-5r"mg. ID d I ✓ti G <br /> earl e . n � <br /> Lia +\ <br /> 7,, 5 ro. 0ruL0ry ST. roh noln D 1l7 <br /> 7a I ry • U ry to rU 57 <br /> THUS NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICFS/ENVIRONMENTAL HEALTH DIVISION (EH D) POLICY #92-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MA61,11UM OF TEN (10) PREM]SE ADDRESSES PER REQUEST. <br /> 2. PUBIC FILES/RECORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLUNG (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY T14RU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NON-REFUNDABLE DEPOSIT OF 578.00 <br /> IS REQUIRED. DEPOSITS %'ILL BE RETURNED TO THE APPLICANT IF THE FILES/RECORDS ARE <br /> NOT AVAILABLE MTIUN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. THE BALANCE OF THE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FR0M THE EHD PREMISES. <br /> SIGNATURE OF APPLICANT DATE 017 <br /> SIGNATURE OFRFLEASING OFFICIAL;'! Y ' ~' %�� Z y _rG DATE <br />