Laserfiche WebLink
�� 30-9F 02:21P <br />X17-d�E1--1'JY1� 1733/11.1 <br />�ked_ <br />IU <br />• 111"-'fF'I'i.''i 7 <br />P.02 <br />R7 <br />SAN JOAQUIN COUNTY <br />PUBLIC HEALTH SURVICES <br />ENVIRONMENTAL 11NALTH DIVISION <br />]PUBLIC "CORDS RF.LP.ASE A]PBLICATION <br />APPLICANT JOA110fllber _PHONE NO 41r2 zL34 k,,2F <br />ADDRESS f 7 NaA WIFE )N e{ - AV --A(: 1 oc r � �4�4 1 cc' <br />AGENCY NAME Pact F_�yy, Ihbv- PHO NO 415 2Y49.� <br />ADDRESS <br />F11T,1, wT)9.v$ly PUVINF. s N1)t'1F/ }�E_4SiR�OR <br />1=AC'1LiTX TkJ_'ii _ 4.F_EiI1E <br />Pry 0 <br />f8ft6LH Iva-110-iL <br />LZ 1100-ti—AF—LAN K2. 5'.9 ,4T£4&i��c_�LN- S T crrrESE <br />EJ IE7�At5E RYF FAif AYLO Sf A (n00 ST LUST <br />�c5y4u1sf AVE EAST 1 +yam-Ls(aB ST u�sr 71 I <br />500 LAST IDLA15E AVG. L(0dv 5-FOIrD-GI,A<_sCol�1 �iA4'SIrF o f _SF <br />,.ICFs- _into J.cA7V0 HAVLAN V -D <br />THIS NO]ICE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br />SERVICES/ENVIRONMENTAL HEALTH DIVISION (END) POLICY s94-007. ORDINANCE CODE Or <br />SAN JOAOUIN COUNTY, END FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br />GOVERNMENT CODE AND THE EVIDENCE CODE. <br />1. A MAXIMUM OF Thi( LM PREMISE ADDRESS1!5 PER REQUEST <br />2. PUBLIC FILESMECDROS REVIEW IS BY AMffffMENT ONLY, APPOINTMENTS ARE PROCESS- <br />ED BY CALLING (2099883420. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br />THRV FRIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:00 NOON AND 1:00 TO 4:30 PM, <br />3- A PUBLIC FILESMECORDS RELEASE APPLICATION fPRRA) IS REOUIRED. <br />4. PUBLIC FILESIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br />C011RECIED BY THE END STArF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br />SERVICE VALL BE BILLED TO THE APPLICANT FOR PAYMENT. fSEE END POLICY Ba• 0071 <br />5. ORIGINAL PUBLIC FILFS/RECORDS SHALL NOT BE REMOVED FROM THE END PREMISES. <br />•!11 \l�.Yf as if fa\IM;laalaaY\\4444 aaa\laiaaa�f�♦asaa•?Rf 14441 lYff111f� <br />SIGNATURE OF APPLICANT _ _ gmmAA_- d�w DATE J 3( 9Lo <br />SIGNATURE OF RELEASING OFFICIAL .--DATE. <br />EN 00 14 (REV 9198) _. <br />TO(GV_ P.02 <br />