Laserfiche WebLink
SAN JOAQUIN COUN'T'Y • <br /> PUBLIC HEAL17I SERVICT,S <br /> ENVIRONMENTAL ITEALTII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT�;r✓cr ,o /ev,.AUA44-t PHONE NO2Df- fYv-S-Ud <br /> ADDRESS ?'� g ox Z c1 SrEi t4 C4 4sLy/-3uzo <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> t o 4l N. j/� <br /> 13S 'Al. F Sfr.�f /sY 1� (y �NoeG;r� Gdel/rs <br /> ?- 4(55 also (,QiL,.i, a✓ v<. <br /> Z 3 Lf 5. 176rn S/. <7,C. <br /> ///// Sevell St �7u//ter A- //4,% T, % eo• _ <br /> /7ZZE• /0r4 51. S�-,(an-'./0n5,i/,pA iL, <br /> 40114coc — (w Cor <br /> 655 RauSevil l�cfi'� P145{,'cY <br /> TTIIS NOTICE IS SIIBJECP TO 11IB REQUIREMENTS IDENTIFIED IN THE PUBLIC HEALTII <br /> SFRVICFS/ENVIRONMFNTALIIFA 1:111 DIVISION (FHD) POLICY 992-007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EIID FEES AND SERVICE_ C14ARGF RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PURLIC FILES/RFCORDS REVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION ANDA NON-REFUNDABLE DEPOSI"T OF 578.00 <br /> 15 RFQUIRFII. DEPOSITS WILL BE RETURNED TO THE APPLICANT 1F THE FILES/RECORDS ARE <br /> NOT AVAILABLE WTIIIIN T11E CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDFNTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGF. THF. BALANCE OFTHE CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> (\ 5. PUBLIC FILFS/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EI1D STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVTCF WILL BE BILLED TO INF, APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FROM THE EHD PREMISES. <br /> SIGNA'IURE OF APPLICANTfa a�/� DATE <br /> SIGNA"TURF OF RELEASING OFFICIAL <br /> Fill 00 14 (RFV 12/92) <br />