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Eli OU I4 (REV 5/94) • SAN JOAQUIN COUNTY • - '° <br /> PUBLIC IIEALTTI SERVICES <br /> ENVIRONMRNPAL 11EALT1I DIVISION <br /> PUnLIC RECORDS ItFIXASE APPLICATION <br /> APPLICANT '�JP_ CDohlQ Iq/l PHONE NO <br /> ADDRESS <br /> AGLINCY NAME can t-)5_5 0C Ice f PINE NO <br /> ADDRESS <br /> FILE ADI. .A AQENja DATE <br /> .i <br /> ((zY van .[3')re,✓ /iil <br /> z ry1 aJ �t r <br /> cor <br /> SKo 1*,n t -4�rka c-nom ��i use a-�J.pY <br /> a$ /yd o 11 a A/ �is1 Z„-YK y <br /> U(4 t ii l vQ!'{ `) _ 94 / ffW' ?�/I7}9•✓v L) , L y-/3:�g•Y <br /> I <br /> d <br /> THIS NOTICE Is SUOJECT TO THE REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICFS/ENVIRONMENTAL HEALTH DIVISION (EHD)POUCY#94-067, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER ICQDE. <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> i <br /> 1. A MAxIMUM OF TEN (10)PREMISE ADDR95563 PSR REQUEST. <br /> I I <br /> 2, PuBLIc FILES/RECORDS REVIEW Is BY APPOINTMENT ONLY. APPOINTMENTS AIM ARRAI OED BY <br /> CALLING (209)468-0146. OFFICE ImI1R9 FOR TMBN <br /> APPOINTS ARE SCIIEDULED MONDAY TURIJITRIDAY <br /> E.RCLUDING HOLIDAYS, 5:00 AN TO 12:00 NOON AND 1:60 PM TO 4:36 PM. <br /> 3. A Pueuc RECORD! RELEAss APPLICATION (PRRA) is REQUIRED. <br /> 4. PU6uc FILFS/RECGRDS NOT RETURNED IN TIIE SAME CONDITION AS RECEIVED WILL 01 CORRECTED <br /> BY TIIE EHD STAFF AT THE EXiFSISE OF TIIE APPLICANT. MUS ADDITIONAL SERVICE WILL EE BILLED-To TAE <br /> APPLICANT FOR PAYMENT. (SEE MID POLICY 94-067) <br /> 5. ORIGINAL POBUC FILESMSCORDS SRALL NOT BE REMOVED FROM TR8 EHD PREMISES. <br /> SIGNATURE OF APPLICANT �� DATE <br /> SIGNATURE OF RELEASING OFFICIAL—- DATE <br /> NO PHSIEHD RECOROsIFILES ARE IDENTIFIED: <br /> 0.r, �m lb,v .7Ltb <br /> PHS/EHD RECOROSIFILES ExITT ON TIIB ADDREss(ES)NOTED. YOU WILL BH NOnF KD w1t FN <br /> REC0RD9IfiL9S ARE AVAILABLE TOR REYILW: <br /> n.rn �Frw rr, W,A,CAmr lr.v <br /> i <br /> i <br />