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rI-IZtUy Jan 11'95 13:5''4No..0`�02 P.02 <br />/ SAN JOAQLTTN COLI*,TY <br />PCBLIC RM LLTH SERVICER <br />aaNgtONNMNTAL IMAL111 DIVIBIUN <br />PIfRI,TC RECORDS R=A6E APPLICATION I <br />AI'PI.ICANT EAJ /�N«„VI P[cr,g �NQ C916) 37l ucf ?�{ <br />ADD <br />At3ENRCY9NAbfDJ <br />Gc yr tiwi ! PHONH NO <br />ADDR2S5 <br />rl7l'� AT11i41:Cy I,F�A,n/ A{iRN"ry (�'� <br />Fo�1J5 2 ffor.,.� �q<,NZTr+v_2 'bt Ljf=-. 'al -C. <br />(rlo3rt_ o!c f�uUC "Y}�/fiH r.�.AL� tiOCf F. �/Lt�un)c /zJ it-�S . T72RC- 1-�-�� <br />�J2TtF,gr.Z i 'sol int ,aci�-Cr � .�i- t 771�tC� <br />TICS NOTICE IS SUnMC7T TO 17421 IMQU1RBM1I14Tq 109M1FIED IN THE FUOLIC HEALTH <br />SBRVICI+12"1'fiRONT•tHNTAt TTFiAI TL T11174ft1N �lHIT)1`L1LEC'Y IftZ�07, URDMANG7: CODTi CP 9AJT <br />IOAQUTN COUNTY, EHU FRF_S AND CTMVI[YI CWAJMJE RLSnLUTIONS, STATE WATER CODE. <br />COV]ZWMM4T CODO AND THM RVITIF?41'TI 1,111311. <br />1. A NfAJITMTIM OP 1T'N (M) PREM1IS8 ADDRSS3E3 PER UQVEST. <br />1. PUBLIC F1Tf7SlRlk'tflti7,9 REVIEW A" HY ALZQ]EEWNT ONLY. APPOWTMENTS ARE <br />ARRANOED ErY CALTdN(I rnr1NAn/ngO. OFPICB HOU" FOR APPOINTMENTS ARB ECa OU BO <br />MONDAY THRU FRTTIAYVXPLULIINO HOLIDAYS, 9.00 A.M. TO 1100 NOON AND I:WP.M. TO 4130 <br />F.m. <br />3. A PUUE.1L' ITFl_'ORD5 RELEASE APPLICATION AND A NON-RF_FLUJD BTR DBhOt3TT OF $7b.00 <br />ILS R-WIUMED. DEMSIIS WILL. BE RSIi1RN8D TO THE AFPUCAN� IF 1741! FH.RS.,R TlCT)RDS ARE <br />NOT AVAILABLE WI HIN THE CUSTODY OF THE EHD. <br />d. ME ASOVB IDENTIFIED DEPOSIT T9 AP9TIT'+U TUWARLISS YH& TOTA1. FI1,8 REVIEW PEH <br />CHAOS TIM B,iLANCE OP 111E CRARUM All R DUH AND PAYABLE y$jQg TO REVIEWINO m <br />Amin-fENT(S), <br />71 PUBrIC FTT PS/T1FC nRDS N1lI' RRl'U1Tt1PD IN THE SAMIB COMI)MON AS RECEIVED WILL <br />CCIRRF,CTPD ny I'm l:HD STAFF AT THE EXPENSE OF THS APPUCANr. THIS AOIITTIONAL <br />SFRVTC71 WILL BE BILLBD TO THE APPLICANT FOR PAYMEEN7. . <br />h. CRICHNAL PUBLIC FIlM,'RIICOV$ SHALL NCIT BEhEMOVM FR4.IM'IHO EHD PRE161130. <br />MONATI,TLE OF APPLICANT -fS z DATE <br />SIGNATURE OF RELEA5TNG OFFICIAL DATE <br />Psi 00 Ti (R2v 12,9z) -�` <br />