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0 <br />Ell UU l'l (Rf'v 5194) SAN jOAQUIN COUNTY <br />PUIILIC IIF.ALTII SERviCES <br />.ENVIRONMENTAL WEALTH DIYIBION <br />PUBLIC RECORDS RELEASE APPLICATION <br />APPLIC.Ak <br />ADDRESS <br />AGENCY <br />ADDRESS <br />FlU ADDR= LH Al? AG'F1VCY Pau <br />767L Fk=Fsr_ 3 <br />792 Iow_E2 Yn. r a 12os10 <br />�"ia a-�Fzc�yEAluE . <br />7F��(7 1�AcsF' c Ave�vv� ff <br />-73 0 3 <br />70 1' N . C-" bD cr. <br />TINS NOTICE 13 SUWrlrr TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC MRALTTI <br />Sr-AVICESMNVtRONA4P,NT'ALHFAI TR DIVISION (EHD) POLICY 594-007, ORD1NANC� CODE OF SAN <br />JOAQUIN COUNTY, EMD FEES AND SERVICE CHARGE RESOLUTIONS, STATE !WATER CODE. <br />GOVERNMENT CODE AND 111E EVID614CE CODS, i <br />I. A MAiDMUM of TIT7 (1E) PREM6E ADC125895 PI9[ RLiTUES:, , <br />2 PURL$- FII.PS/RECORDS REVIMV u BY ApEOMWRTNT ONLY, AMB47 itwo Alts ARRANGw By <br />CALC.ING (709)4E$o340. I)Fr`IO[! iIOURS FOR APPOIMTMVIfS ARS SCRGDULRD MIONDAT TPRU PRIDAY <br />EYCLUDING HOLIDAYS, 8110 AM TO 12:00 NOON AND 1:00PM TO 4;30 PM. <br />3, A PURLIC RPGORIIS RELR458 APPL10AVION (PRRA) is RPQVIRED. <br />y, PUBLIC Fit-F&RECORDS NDr itm"eo IN -DIE SAME CONDITION AS RECEIVED WILL RE CORRECTED <br />9T THE FID STAFF AT TRE BRFBNSE OF 711L> APPLICANT, TIIG ADDRIANAL SMVICE WILL $b BILLED r0 TILE <br />APPLICANT AOR PAYMENT, (SEE EUD POLICY 94-007) <br />5. OR1O1vAL PUBLIC FILES/RECORDS •sNALL NDr IIB REMOVED FROM THE EAD PREM11rJ. <br />SIGNATUREOPAPFLICANT _ DATE � �J <br />SIONATUR£OFRELRASING OMCIAL DATE <br />NO PHS1M- D Rsc0RDUFR.F4 ARR rDm4 mm, <br />°wR ea��w m Mnar nei 4etr <br />PHSIEHD ReCORD3IF11-0 EICAr ON TILT ADr)""(Es) NQTED, You IPILL BC t4olm7m w"jM <br />RECORE FILES APR AVMLABL E PDR RFVMW; ' <br />Dwiv 4FOn T. �,�N O..L <br />