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OV?:L12LP6 16'47 92594?2F6 ISG PAGE A2 <br /> DA"`E'1F�Ff <br /> E0 EKD LOG NJ9 i2 <br /> (� <br /> SAN 3QAQiTIN COUNTY <br /> TN'6 aONiVIE.(VTAL HEALTH DEPARTMENT <br /> 2006 pou3 East Weber-3420Avenue, :(Floor, -013 ton.W b: 95202-2708ov,or Z�/ <br /> a>=Iepllone:(209)46&^342fl Fax:(209)464-0138 Web:www.s;[;ov,org/eb9 <br /> i Nd��QNP�ENT HEALTH <br /> 4WCES PUBLIC MCORDS RELEASE A.PPLICA'd'ION <br /> O�// r i.;�a l(s,�F.tia�.._;.,'.yki�? -.. .`i�a7 i..`.'• ... ®USMESSI�1GENCY: .s�mu r C s. ��•�d,..:.,,�,;.i <br /> J <br /> ol_d7 ' T'ENTA.-TlVE' APPQRt'i'mw GATE: -- <br /> •j�(1 I,pisasa rliow 1L tluniaaRa days frnm d;:6a of appllcadon aubmiital-•tgllfPlive ony'•mrrat be r.ORitrrfteq <br /> tIx T-)E F'Ip„aRSx II€4ftJ€;.4T-'i9$.QO TEE(CASH OR CHECK - T <br /> r M TIA LIKE OF AFF G,I AK ----- <br /> . .. �.. <br /> ectrorBc Irifnlvnatian: :.let Map—Description: <br /> FtriLl!ADDRE SHS _ ISHD USE ONLY <br /> jRii�•eccrt'Name _ City <br /> an_ re- 5#rc�t•h _ u5r <br /> Nv <br /> Are- <br /> _ <br /> 3 J�) 5to 'II--f. baa—lC—am_�tfE. /'+- t iJ FF --- ---- 1, 2._ <br /> `tOSb ICOL — <br /> 4350i' v ism • Sh«ckte r HuJ��1 _ <br /> :,111ffiin <br /> N5 Yom- <br /> - - _ _ <br /> 9s44, t <br /> �'ia€r.N,"rM�atc Itarega of!n`orrnatlara f'.,�slrFested:From __� to <br /> �d, ENWRQNMENTAL HEALTH DEPARTMENT FILESP <br /> y>,IJN>KiRGP;o;iNO TANS;(IJ3Tp:L.EANL'6`rn!YS$(e.C3Pt C3 Horrsatc ABATEMENT 9 Soup WAarF FAgwTr?fumct <br /> I E^?NE;I^-:a.afluP$ic'a(R`:?Iid.LRP) [3 FOOL FACILITY 36 WAs1r T;RE <br /> rJxci'acaOisNf T.Aadt(P,tcTTIlnmPdGlrtEMOVay.) ©DOO KENNEL <br /> �� ;YSDmPl. M <br /> X R.T4J+!.^ W4EI—, ` IM <br /> FFIRPAR imrt F.ANcN -2 WASTEWATER TRE,1TA11:N?PLA':VT <br /> ' Irl;Rzl. £Pd tC'1r,4G.11eN V NNOTELIHOTEEL I-PUMPER TRUGNXA DICIKIM TCMLM <br /> T-0...a 07 fl:,c1:Ua o M POOUSPA T&I.Am WE APrLIOam Sim _�. <br /> f>ti alsaicA=.WASTE FZmrn- C GMER(PI EASE SP[FfL ___,,,_____,p-_ -. <br /> WELL ARM SEPTIC PERIIn Ri DQ'UOR ARE AVAiLABLT;POR REVIEW- MoNmr-FrIDAY$:ea/W-6:00I -E=i,URINO HOWAM <br /> �.®..�. ,..:.:.a. ,...ev... <br /> 1 t est up ha 4an addrt se in Sha apace above. Select the types)of}Iles from fhe fist above by ehacidng the appropdaw <br /> hdx.(e4�) At feeM ane MR tyaa MUST be sElected, Fax to 2o9)4a4d138 or malt ,,i,�e address Indicated above, Address <br /> eanrdm Will VOL Tie a r(pte.d=foradaioonal aasL�LtnCe wah file addressas,contact they EJila.A'.ppfiutlons yeeelvta4 <br /> , T rl'a pejr� tW ne:c.u-.eslnfsa day, <br /> 740 0Fi vaitl notify"-�Le appllaant 4f any EHp flees exlat. An appolntrnent for revleklWeil We confirmed approArcttetyton(10i <br /> 00ya after receipt of application. The floes wool 4r held for a maximum of f w business days for rev,E+w. Appelntimer&s <br /> 4hould be acheduted Racordingly. <br /> '. A file that fr actively bring worked oa by EHD atr.lf may not be Immediately available fur review. Anew application dray be <br /> sublvQsd Wain the file is avalrobie, <br /> not isggTneG:in. ®same aondttia+as released Will be reorganized by RHC+staff'of the experar of the anplfr,of <br /> t'irF+i,�ills Te:tellPa by the carne a1TINIAnt may w4uire a S95.ee deposit prior to revlew. <br /> �_ EHD USE ONLY <br />