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• SAN JOA( UIN COUNTY <br /> 1'IIISI,IC IIFALTII SF,RVICES <br /> FNVIRONNIEWFAI, IIRAi.TII DIVISION <br /> PUBLIC ItFCORDS RELEASE APPLICATION= <br /> APPLICANT �plv� �¢ �A f ct f . PIIONE NO 201 - LI6 3-7K'o' "<t <br /> ADDRESS c� Lax 1 5� S.f �1D �c 9S2ol <br /> AGIINCY NAMH _ .._ _ _..___—.-- PFIONIR NO <; <br /> ADDRESS ---- <br /> FILQ_ADDRESS. LEAD AGENCY DATE <br /> - (4051 <br /> G.+1 iib Tf✓¢�6.j.pyr_�a`�t'. 1 A.}r .�J� . <br /> ? n co Cl ra�4�4�_ ut 4r.,, <br /> -- <br /> T�nco -- <br /> rin�h. `tyu'iu 3(.5 Cl c n r <br /> aJur�-Ewes+ ir`,ur�r� 313_9 LI r . r�.; l jJ�) <br /> ok CA! <br /> `=-- <br /> MIS NOTICE IS SUBJECT T0IIII; RF,)U(11HMFNI:S IDENTIFIED IN THE PUBLIC HEALTH' <br /> SFR VICES/EN V I RONM ENTAL HFA 1:111 DIVISION (FI I I)) POLICY #92.007,ORDINANCE CODE OF SAN <br /> IUAQUIN COUNTY, EHD FFF.S AND SFRVICF. CFIARGE RESOLUTIONS, STATE WATER CODE, <br /> (4)VERNMENT CODE AND T11I? FvIDFN(T ('ODE. <br /> I. A MAXIMUM OFTEN (10) PRFNIISf. ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILES/RECORDS RFVIFW ARF BY APPOINTMEN -ONLY i'APPOINTMBNI ARE ( W R <br /> ARRANGED BY CALLING (209)46R-0140. OF1710E HOURS FOR APPOINTMEMARE SCHEDUL.ED ,n�* <br /> MONDAY THRU FRIDAY EXCLUDING I110LIDAYS, 9:00 A.M. TO 12.06 NOON AND I.W P.M.TO 4:30 �� �� <br /> P.M. t� � <br /> Fi <br /> �. A PUBLIC RECORDS RELFASF API'I.1CA'IION AND A NON-REFUNDABII3DEPOSM".Op S?S.00. ,!k i f <br /> IS REQUIRED. 013POSITS WILL RF. RF'I11RNE1) TO TIIE APPLICANTIP THB PILE."ECORD3'ARB r JR 4 2 <br /> NOT AVAILABLE WITHIN TIIE CUSTODY OF TIIE DID. <br /> 4. THE ABOVE IDENTIFIED DFPOSTT IS APPLIED TOWARDS THE TO'i'AL',PILR.RE : <br /> (MARGK TIIE BALANCE OF III CHARGES ARE DUE, AND PAYABLE p$LQ$ 1O REVI6WINO THg E;p. <br /> DOCUMENT(S). <br /> 5. PUBLIC FILFS/RECORDS N0•i R1;FURNED IN TIM SAME CONDITION AS RECEIVED WILL BE ii¢ Q <br /> CORRECTED BY THH`EHD STAFF AT 711E EXPENSE, OF THE APPLICANT., 44HIS'ADDTIIONAL: { I�� <br /> SiiRVICF3 WILL BE BILLED TO TIIE PI'I,I( NT FOR PAYMENT p <br /> 6. : ORIGINAL PUBLIC nLES/RF ,ORDS SIIA E REMOVED FROM THE EMD PREMISES. <br /> SIriNATUREOFAPPLICANT _ ^Ll� / _ DATE T <br /> , <br /> SIONATURh OF RVI.1:ASING OFFICIALDATE a <br /> FII (10 14 (REV 12/92) <br /> c <br />