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U. a <br /> ILII UU 1,4 (I EW 5194) SAN JOAQUIN COUNTY <br /> I'U11I,1C 1111AUDI SERVICI),S ,l <br /> ENVIRONME,N'I'AI, HEALl'RI"DIVISION Gam✓ `� ;�=-' <br /> PUBLIC IU:CQlU)S RVUX+'ASFL APPLICATION <br /> �"PIIONE <br /> AI'1►LIGAN" C4 'NO_ <br /> ADDRESS vI <br /> AGENCY NAME UZI 7 Lin 12 I 11 PHONE NO <br /> ADDRESS <br /> !j <br /> ! <br /> FILE ADDRESS LEAD AGENCY DATE <br /> t d 61► LyP alt 3S ? <br /> £' i x3.50 <br /> © C.1(A _ u � r1 <br /> L !V (J`� v c I I14, <br /> C.a') )-4,71W <br /> — <br /> o <br /> (a N �+ naii Q29.s�- <br /> j <br /> I <br /> i� <br /> '1'IIIS NOTICE IS SUBJECT TO '1I1B RI7lQUIItI-m--NTS IDENTIFIED 1N 'rim PUBLIC HEAL;1"1I <br /> SERVICI?S/ENVIRONMIiN'I'AL IIEAI.I-11 DIVISION (U-1113) I'OLIGY #94-OU7, ORDINANCE:CODE 01'SAN <br /> JOAQUIN COUNTY, MID 1'Iii'sS AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERN ML"•NT CODE AND THE EVIDENCE CODE. I <br /> 1. A MAXIMUM or-ITN (lit) PRI.-WISH ADDRESSES PER 11I1QU1:S1'Il <br /> 2. Punuc FILESIRECORDS RI3VIEW is BY APPOINTMEN'r ONLY. AI'I'OIN'TMfN'I-S ARKS ARRANor.l) By <br /> CALLING (209)468-0340. 014.1cl? HOURS I-,OR AI'1'OINTIAW-NTS ARR SCM?DULIiD MONDAY TIIRU, FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM To 12:00 NOON AND 1:00 rM To 4:30 I'M. <br /> i <br /> I�. <br /> 3. A PUIILIC RGCORDS RELEASE APPL1C/0-ION (1111RA) IS RTsQU1RED. <br /> I <br /> 4. I'IIIILIC FILES1111:CORDS NOT RITI'URNED IN Tl1E SAME CONDITION AS RECEIVED WILL Ili"s CVRRFi4'TI?D <br /> BY TIFF- 1:1-ID STAER AT TFIE CXrI3N3E OR TIIE APPLICANT. THIS ADDI'T'IONAL SERVICE WILL 11G 111LLED TO THE- <br /> APPLICANT <br /> HEAPPLICANT vOR PAYMENT. (SEE EMD POLICY 94-007) <br /> !i <br /> .5. ORIGINAL PUBLIC I'ILESIRECORDS SIIALL NOT DC PEMOVE6 FROM '1'1119 EIlD PREMISES. <br /> SIGNA"T"URE:OF APPLICAN�I- l ii DATE <br /> SIGNATURE OF RELEASING OFFICIAL DATE, <br /> I�NO 11IIS/EIID RCCORDS/l'ILo4 ARC IDCN'I'II,-IED: <br /> - 1)nin: Rrt'Inwnn Rr) I M"CATTIM Iles n: <br /> it <br /> 1'1IS/III ll) Rr•,CORD5/PILES EXIST ON 'TI%ll ADDRM- (r.S) NOTED. YOU WILL IIF NOTIrici) WIICN � <br /> { Rr•.cORUS/FILES ARF AVAILABLE: rOR REVIEW: <br /> I)ntn: Rnvmwnn or: <br /> ;4 <br /> il <br />