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--K! -I9C_ 2:5X1.1 r 4.011 A(.;[- r1C -n,a 9i U/klVJ <br /> SAN JOAQUIN COUNTY <br /> PUBLIC HEAI;M SERVICES <br /> P•NVIRONMRNTAL YIEALTTI DIVISION <br /> PUBLIC RECORDS REL)FASE APPLICATION <br /> APPLICANT Kedir) MPHONE NO <br /> ADDRFSS __ <br /> Af:FNCX TIAbIP. Ayanc-_c� (�•�_f!�✓ivnnrn•Ma__(_PIlONE•NO <br /> ADDRESS M3 V✓. ltarclt Lrl_Jft � Stoc�`10I� <br /> ILE /�I)llRE$$ LP69 A-QEN(!Y DA'M <br /> T)OF Tvn Nt �iV5 _. <br /> 7701 Tan 0 5hi• +w _ IA G-rl <br /> 7 9 0 6_ N• E I Doyad o <br /> 7 0 t. HwMmk r Lr► — U 1 e-3 <br /> 1 1.10 �. ){o M K'1•►. 4�+ -- <br /> tL 6`1 C • y+th.r 6a• <br /> THIS NO-RCE IS SUBJECI' TO THE REOUIRL•hfENTS IDENTIFIED IN TrIE PUBLIC HEAI..TII <br /> SERVTCFSr'Ei4VrRONAIF_NTAI.HEALTII DIVISION (EHD)POLICY iV92-007,ORDINANCE CODI-OP SA?I <br /> 7QApU1tt COUN7"t, EHD FM- AND.SERVICE CHARGE RESOLUTIONS. STATC NA'IFJ2 CODE, <br /> GOV GRNDIE•t.`T CODE AND THE EYIDENCE LODE. <br /> I. A MAXNIUM OF TEN (10) PRJ:AUSG ADDRESSES PER REQUEST. <br /> 2. PUBLIC ITLGS/RECORDS RE"IEW ARE BY AI'POIN tEN ONLY. APPOIN•r3rNTS M.G <br /> AM'LI:GED BY CALLING (209)Assm40. OFFICE HOURS FOR APPOINT'itENTS .hP.E somDULED <br /> AfONDAY TI IRU MDAY GKCLUDING HOLIDAYS, 8:00 A-AI. TO 12M NOON AND I:PO P.114. TO 4:30 <br /> P.t.t. <br /> 3, A PUfIUC RECORDS RELEASE APPUc'.A'nON AND A ,_NON-KE-U IIM&E DEPOSIT OF S78.00 <br /> 15 REQUIRED. DEPOSITS wI L BE RETURNED TO THE APPUCAIJT IF THE IlLES,RECORDS ARE <br /> NOT AV.UL4,13LE WITHIN THE CUSTODY OF THE EHD. <br /> 4. 'RIE ABOVE IDFNTIFIRD DEPOSIT IS APPLIED TOWARDS THE TOTAL nLE REVIEW FEE <br /> CHARGE. '[TIE BALANCE OF THF- CHARGFS ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOtUMENT(S). <br /> S. PUBLIC FILES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT ME EKPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLEDTO THE APPLICANT FOR PAYMENT. <br /> R. ORIGINAL PUBLIC FM.E-3lRL-CORDS SHALL NOT BE PEAfOVED FROM THE EHD PREMISES. <br /> SIGATIJA.E OF APPLICANT w1.w 'l. >Nf✓L.�vi.---_ DATE <br /> N <br /> SIGNAIUR Fi OF RELEASING OFFICIAL DATE <br /> Iili OO 14 (ItGV IL92) <br />