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SAT( JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> ENMONNIENTAL 'HEAL 111 DIVISION <br /> RE ICoiwSl RffF:I.EASE APPLICATION <br /> AFP[.f('ANl' _ �M C (/y_ pIIONB NO�^ 3 (0 t- <br /> ADDREESS �7 i tw --Ir. - { k �r ---- - <br /> AGENCY NAldH PHONE NO <br /> AyINUISS <br /> NII.[f.0 4�4 LEAD AQH_NCY DA'l <br /> 510 Avfotc, <br /> - <br /> R , -c r) — <br /> -- <br /> 's F� e • W — <br /> `jS� <br /> n �• tiTln�nT��t� — <br /> TMS N(Y110E IS SUWECI TO 'f1lE. RL•QIIIR ETIF.NTS IDENTIFIFI) IN 111E PUBLIC HEALTH <br /> SERVICES/E•NVIRONh1ENTAI.aRf1LT11 DIVISION(Flil))POIJCY 192-W7.ORDINANCE CODE OF SAN <br /> )OAQUIN COUNTY, GID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODR AND TIIH EVIDENLU CODE. <br /> 1. A MAXIMUM OF TEN (16) PREMISE ADDRESSES Pot REQUEST. <br /> 2. YUBLc I9LESMr-CORDS REVIEW ARP. RY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)466-7340. OFFICE IIOURS FOR APPOtt'rMIEN1'S ARE SCHHOULED <br /> MONDAY 114RU FRIDAY LXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> PAL. <br /> 3. A I,UIlt1C RECORDS R13LEASF APPIJCA-I10N AND A NON AEFUN )1 Ails. DEPOSIT Of*$711.07 <br /> IS REQUIRED. DEPOSITS WILL BE RLIURNED TO 111E APPLICANT IF THE FIL VRECOR13S ARE <br /> NUT AVAILABLL WITIUN T118 CUSTODY OF Tild IJID. <br /> 4. T11F ABOVE IDENTIFIED DEPOSIT IS APPIJED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. 111E BAI—ANCE OF,lin CHARGES ARL' DUE AND PAYABLE PNIUK TO REVIEWING 111E <br /> DOCUMENT(S). <br /> S. 1'URLh'PU.FS/Itl 'ONI1S NUI'RE71)KNEU IN 111E SAME CONDI'IION AS RECEIVED WILL BE <br /> (•ORR)3C'1-BD BY THP F31D STAFF AT THF EXPENSF OP T11F APPLICANT- THIS ADDITIONAL. <br /> %'WtVICE_ WILL BE BILLIia TO'l11E APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC PILAWRECORDS SEAL.NOT BE REMOVED Mull TILE• SID PREMISES. <br /> SIGNA-EURH OF APPLICANT <br /> SR)NATURE OFRI91EASING O�'17ClAL_________. __ DATE <br /> fill 00 14 (REV 12)92) <br />