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A/ <br /> 9'7 -13 c, <br /> SAN JOAQUIN COUNTY <br /> PUBLIC 11FAIA11 SF..RVICFS <br /> ENVIRONMENTAL IIL.A ,111 DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION 1, <br /> Y1' <br /> Alwreb <br /> APY1CAN'L' vM PHONE NO__g <br /> vaoADDiESs PHONE NO <br /> AGENCY NAmS <br /> b Z_ <br /> ADDRESS <br /> FILE AI3DRPSS DATE <br /> -- <br /> > <br /> s;,7Ja.0.>t e <br /> 71115 NU"ITC:1_• IS S(1IilECf TU 77iE REQUIREML•NT-S [DENTi FIF.D IN 971E PUBLIC HFALTH <br /> SUR VICES/YNVI RONMENTA I.HEAT TH DIVISION(RHO) POLIC -0 <br /> Y p97 07,ORDINANCH CODE OF SAN <br /> JOAQUIN COUNTY. EIID FEES" AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND TILE RVIDENCB CODE. <br /> 1. A MAXIMUM OF TEtI (10) PREMISS ADDRESSES PER REQUEST. <br /> -IC Fi{-ES1RFCORDS REVIEW AAF. B1' Qel'��LI:1;C1`1ENT_QL) APPOINTMENTS ARE <br /> ARRAN(i L'1) BY CALIINO (21)r9YI68-0340. OFFICE HOURS FOR ATPOIN'TMENTS ARE SCHEDULED <br /> MONDAY TIIRU PRIDAY 13CCLUDINO HOLIDAYS, 8:00 A.M. 'CO 12,00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3, A PUBLIC RECORDS RELEASE APPLICA11ON ANDA NON REPUNDA111.E DEPOSff OC2 i78.4DO < <br /> IS REQUIRED. DEPOSITS WILL BE RETURNED TO THE APPLICANT IF THE 13-I1-ISfRECORDS ARE <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE 1211D. <br /> 4. THE ABOVE IDF.NTIFir7 DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. 171E BALANCIi OP"ITIS CHARGES ARE DUE AND PAYAHLE i KIOR TO REVIEWING THE <br /> 1)OCU6IRNT(S). <br /> 5. PUBLIC FILES/RECORDS NOT REI7JRNED IN TILE SAME CONDITION AS RECEIVED WILLBE <br /> CORRECTED BY THE FIID STAFF AT 171E EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. _ <br /> 6. ORIGINAL PUBLIC PILES/RI:CORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE OF APFUCANT T —^ DATE I�® � —f-2— <br /> SIGNATURE OF RIiLEASINC OFFICIAL L C� DATE <br /> Ell 00 14 (REV 12/92) <br />