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01/08/97 11:28 FAX 9' 1 987 0802 uhm1;3 & muufl _ gjv.z <br /> IU <br /> 471-17.5'"1'77( 174 J f1-�, YF._ <br /> � ' -003 <br /> SAN SOAQUrN COUNTY <br /> PUBLIC RSALTY, <br /> s1BAr,Tg IIT.LSION <br /> ENVIROL9P''JENTA + 1 g APPLICATION <br /> ppBLIC RECORDS RFLF•A-R <br /> } 1 G c pHONx NO 97538*-88-0 t — <br /> APPLICANT a <br /> ADDRESS NO <br /> AGENCY NAME <br /> 11DI7RSS5 <br /> ♦*i##*#*##t*######****Y###*#*##*itYtYY't###-It#t*Y**##i1,'#f'A'YY####1'#YY <br /> BIIST -a_ � FILE <br /> w Err L ADDRS9� ?ACID,--'Y"_y OF <br /> * w�i S"�iN15 '/ k)a4er So:�f UST <br /> LGAl �157ND Cal. Wws� R.c»,• V <br /> 133 Ea3�T�w« RL. D'sP � <br /> @oz o CL.FF Awe i�k� iAe. W � Lam-'✓.. <br /> 116 "f..• V i L40 1FG ca <br /> ° •r Rd at ct4z'L L•d% - <br /> E V ov< Iroy01_._Al Dx.�''I v <br /> 1, o <br /> 68e E,•+ Lo:,k.aL=rb e°�. a�> e1��Jt��3�cam. i <br /> fASf z4a <br /> a i'' kap L 2, a5z <br /> *#k-4t•t#-e#•t2##iri###}+f*#**�'k*iat#t#*##**###+k##Ir###ie##t#**#Y*Y4#t#* <br /> TH1S NOTICE SS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBUC HEALTH <br /> NANO CODE OF <br /> SERVICESIVAVIR10NMFNTALHEALTH DIVISION (EHO) POLICY *94.007• <br /> ORDSAN JOAOUIN COUNTY, EHD E AND E E. <br /> VICE �ARGE RESOLUTIONS. STATE`NATER CODE, <br /> GOVERNMENT COU AND THE <br /> 7. A MAXIMUM OF TEN LQl PREMISE ADDRESSES PER REQUEST <br /> Z. PUf?IJC FILES/RECORDS REVIEW 15 BY APPOINTMENT ONLY. APPOINTMENTS ARE PROCESS <br /> 2ED 13Y, <br /> FRIDAYGEXCLUDlK NG HOLIDAYS, 8:00 AM TOE HOURS R�0 NOON AND 1:00 TO 4-30 PMULED MONDAY <br /> 3. A PUBUC FILES/RECORDS RELEASE APPLICATION (PRRA) IS REDU{RED. <br /> 4, pl]BUC FILESlRECORDS NOT RETURNED IN THE SAME CONDMON AS RECEIVED WILL BE <br /> 5CORRECTED By THE 4VICEE VALL BE BILLED TO THE APHD STAFF AT PLICNT FOR PAYMENT94SE OF THE - SEE SHD P LICY 9 00714L ' <br /> 6, ORIGINAL PUBLIC FILESMECORDS SHALL NOT BE REMOVED FROM THE E34D PREMISES. <br /> ......♦..................e........... <br /> ..-....r.a...s.sal.s...s..a+ �.. ..+• DATE I1314-+- <br /> SIGNATURE OF APPLICANT / ' <br /> SIGNATURE OF RELEASING OFFICI 1 <br /> DATE I- `f—1-7 <br /> EH 00 14 (REV 9156) <br />