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--"06/27/2005 17:05 5100340 PAUL KING • PAGE 02 <br /> DD SAN JOAQUfN COUNTY <br /> ENVIRONMENTAL HEALTH DEP `.IUsV 2 J 2005 304 East Wcber AYcnae, 3+r Floor,Stockton, 95202-2708 Fq � <br /> I <br /> ENVIRONMENT HEALTH Telephone;(209)468-3420 FAX: (2D9)464-0138 Web:www.s &Oy.or8/vhd O <br /> PERMIT/SERVICES PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT: 501KE-SWA061ROY: �' b T\J.`hoa nl-••� <br /> ADOREaa: <br /> PHONE(ti: O'- ' 6 9 T b pww(Y1: FACe1MILE: <br /> TENTATIVE`APPODrwim DATE A TMMC <br /> (PNM"e9OW til ewtnae dost hem 400 Or ;1,t .•r nbam aur.s.wwr bo coM foal <br /> 0-94EC)(00x TO EX OUEST-frV ONLY)—REOVaaT PaOCCSSEDIN i/USI i•YIAYr <br /> SIONATURE OF APPLICANT + DATE t7�� <br /> utar VATIZW- 0 unK 1 0 VrA s 0 Unit s a Unit 4 o Unit c 0 unit r o 0dw jo**0N fttwWAP*) <br /> FILE MEW END UiRE Offy <br /> � au..ee akeetNrxe a <br /> r Y. r SSCL. tier <br /> a. L <br /> 4 0 ? so Vj Ar w 2 <br /> w <br /> S. t P w, xe A+ <br /> V 6. Ai � <br /> � <br /> 7 h i S . n lQ` <br /> �o. <br /> 9pee111c D+h Range of IMennadon Requested:From to <br /> ENVIRONMENTAL HEALTH DEFART'MENT FILES 5" !k <br /> C/VclaANuTAjw(uaT)c4 "Sov(Lop) 13 HOMW ADAUN T ❑$am WMTf FtAQ fWV9ML vvu,+ <br /> F.am(xgKLM o F000 FALL M 0 WAAn TIRETAMC(MOMTaI WMAMOVAL) O Doa k0oft O DAOKY <br /> D NA:AAWA WA*"0110WATOR o CNMM RAW.H o WAITIWAYM tMATMNr PLQ4 <br /> 0 Te pvtonm RAG6NY o Mowu"OTtL 0 Pyarq(TM,CKIYAeCICNer TOUTS <br /> O TATFOWDOPY Tho+aAq q PO%WA 0 LAND UN APDL CATAM SMN <br /> O DISMAL WAITE FA61 m - 13 o0w(Myum artwy) <br /> MAK.AND aurae PersAti RAOCAn AMAYALAelt"RavMw• MawAY-FgWAYIMAad:Oare . emA014No.RAAYe. <br /> 1. List up to ten addresses In the apace above. Select the"(e)of flies from the list above by chacklnyy the <br /> appropriate bosgss). At least one me type MUST be sNealed. Fax to(209)4R0t36 or mall to the ad fees <br /> j abgyq� Address ranges will not be accepted-for addlt(on■I assistance wDA file addresses,contact <br /> Nre D Applieatlons received atter 3:00 pm will be processed the next business day. <br /> Y. The END Will notify the applicant N any END files exist An appointment for review will be confirmed <br /> Approximately ten(10)days after receipt of applJostion. The files Will be held for a rnazlmum of five business <br /> days for review. Appolntmettts should be Scheduled accordingly. <br /> 3. A file that is ACU"Iy being worked on by END staff may not be Immediately avallahle for review. A now <br /> application may be submitted when the file Is Available. <br /> 4. Any file not returned In the came condition es released will be rsorganized by EHO staff at the expense of the <br /> applicant Futuro 1116 reviews by the tame applicant may require a$93.00 deposit prior to mvlew. <br /> IC <br /> TO 39vd H1-W3H -N1N3ypJD 1AN3 86T6090 6:91 S00Litai90 <br />