Laserfiche WebLink
are. - FI ..... _ GRE�,,1•oRlw <br /> MASS J <br /> E RECORD INIFOR . <br /> NATION <br /> Irp <br /> " _ F UNIT IV <br /> OwNrzzR rILE <br /> ?efPLEM ME.-OLLOW7NOPROPERTY OWNER lwol?MA77DN., Ow4wrf OWNER c:rnrgrxrtrnwfi ZWrHEHD [] <br /> IgacrERTy <br /> NATE t'11dNf' <br /> ,.e <br /> 77 <br /> NlmL IBPOE of W. Lodge 10106 SrxSacJlu�IDa� <br /> caner Home Address Dwvews uesp ar S <br /> $TATE Z& <br /> arnar lWafan�AOPrnf P.O.Bax 691985 <br /> . <br /> ling Address City Stockton <br /> Stale CA 2Ei, 95269 <br /> NVOFtATPON O IMD"OUAL❑ PARTN6Rw4w 17 <br /> Q t7T1tER� <br /> FACILITY FILE <br /> Ftot# liy* �' •..- -n`".s. �.x'::�.= �"' -��lCf' ?' , , at,5,�i� x+. .,�.. ,`:.,_ �-;.:,,.��'� <br /> PLE7ETHEP(7LLOW/IVG BUSINESS 1 FACILITY 1 SITE INFORMA770N.` <br /> Nis a NEw Business LocAT1oN not previomly re"ted by the FIMRONMEIVAf.H"LTH DNIsfoN 7 � No p <br /> thls an EXISTING Biminass LocATloh but a New TYPE of regtaloted Busklestl 7 YES p No f] <br /> NESSJFARLrrT/SITE NAME N/A <br /> iTE AD`DREss iYUITt' BtestttEss PHphtE <br /> 37 West Sonora Street <br /> Stockton r s STATE CA ZtP 95212 <br /> p kit t }7^s.j' �'. ti94 <br /> ff` <br /> nig Addreos MOlFEERMV7 frons Fwor7 t.Addreos Aftention <br /> to Care Of/a�arrarq <br /> I ng Address City <br /> STATE 2JR <br /> ,I rne <br /> l i 1F p�_ ..ar+,,r + {!n 4 <br /> IC3 r 1 �� •" f�.+� v�t o <br /> l IER <br /> PARTY BILLING INl=O: COmp/ete if Billing Party /S dI ferent from Property owner or <br /> FarriElty operator J&entmearapove. <br /> NAME Attention•erCare <br /> CL Properties, VI Mr. �ChrisV Cammack <br /> ' gAddreaa 8227 N. Fresno Street <br /> P"C++E 559 - 437 - 1333 <br /> Fresno STATE CA LP 53720 <br /> tadmk" for fees and Charges OWNER FACtU7Y/BUSINESS Twto PARTY BILLING <br /> upm,arvn t'natvlJAmCk Ar Lmowt.!mdueNT" L the ondersighed Applicant,certify that 1 am the Chm-,QpaWor,orrtltlJiPrdzAd.tAerll of this pwxlnexs,wad I welcaoxlMxe Ilial,14 <br /> rsur at;Pt lGu iTar,ENFtlRCStrarvr[7itlscGT aaaror HuiM.iGN�+rta�v assot►ated wten rbls openFteh VAH be bitted to tsse at the addrt o Idehtttlyd above as tee.lttuuvr T�ennlee�s <br /> t alts i also teff,,,IRwt ail Information provided on this application Is true and carrect•,and that al!reZtdated hetiviti's vneo ll be performed is aeeordnawith all a�lieahk <br /> (burrry prdlnwlKe Codes and/or Stabdutds and SIAM aaftr Frzcrul,LAm and Reulati <br /> gons, As the undersigned ovmer,operator,cr agent ortbc properly located atSAN <br /> the <br /> hNe•ddnea� I ILi TIi h1--b7awborim dw ratsam ora y rod Off mug%and onvirennoeallll obt latormatlon 40 SAN JOAQUIN C'CEINTY ENVIRONMENTAL <br /> DIVISION as Poon w It Is avaibbk Pad al the same flax It is provided to Ins or ray reirreaealative, <br /> PLEASE PRrfrr <br /> (CANT NAIVft= ff SIGNATURE <br /> rf <br /> IruE Pal �to <br /> • ✓ syr DRIVER'S LICENSE: <br /> Y <br /> "{}t'IlOtr .rewsa �� �•�°�+�r�t7r. ,,�„e ;j.��,.7,Z��Y.�+SL, r lL5`5'"�''r <br /> r _ TOTAL P.05 <br />