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{4 i1?-16 3995 3=55PM FRCH AGE NC 209 956 0700 <br /> y <br /> ij <br /> r SAN JOAQUIN COUNTY qs-z !� <br /> PEMUC R V <br /> �ALz sERvxcEs UAjL3 �y Lt <br /> �> MWM0NMENTAL BEAU' DiVL416N <br /> PUBLIC RECORDS RELEASE APPLICA770N <br /> ApPUCAN`r ONE. NO Cis OZb <br /> ADDRESS <br /> AGENCY IMAMSrIGLIAC-mv M4 -I PHONE NO <br /> A.DDRSSS . i+ <br /> k <br /> ELLE A EMS LFAD.AlGaENCY DDA <br /> d E. RN9 Stl e + 35. 7 7 <br /> vt� Ile 5. e !i mss, <br /> Ch- raKre.l,Cr3g, 11 � �?- <br /> i v0 _3Q3 S. Chp f K tLood k lo; <br /> n <br /> -2130 5- <br /> ✓D Zoo 1( 0pia D <br /> i <br /> -rms NOTICE IS SUBJECT TO THE REQUIREMENTS IDENTIMED 41N TIRE PUBLIC HEAI:M <br /> SERVICI`SIENVIRONMENTAL HEALTH DIVISION(I-11D) P161ICY"2-007,'ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY. MID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATM CODE, <br /> OOVBRNMENT CODE AND THE EVIDENCE CODE. . <br /> 1. A MA) IMUM OF TEN(10) PREMISE ADDRESSES PER RE Q11 <br /> UEST:` <br /> j <br /> 2. PUBLIC nLESIRECORDS REVIEW ARE BY AprOINTE.IEMT ONLY. APPOINTMENTS ARE <br /> k ARRANGED BY CALUNCJ (709)443-03140, OFf'ICE HOURS FOR APP01N 1TAl N7Ya ARE SCHL6ULsD <br /> MONDAY THRU FRIDAY P-CCLJDING HOIJDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P-M.TO 4:30 <br /> P.M. !' <br /> I�. <br /> 3. A PUBLIC RECORDS RELEASE AP PtJCA'IION AND A NON7REFUNDAHLE DEPOSIT OF$78.00 <br /> 1S REQUIKED. DEPOSITS WILL RE RFTUEINED T() THE APPIICkfr U''THG FILL-SIR -CORDS AAE- <br /> NOT <br /> T ENOT AVAILABLE WITHIN THE CUSTODY OF THE HHL). <br /> i <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THIx�"1Y m. T=ILE REVIEW FEE <br /> CHARGE, THE BALANCE OF THE CHARGES ARI_DUE AND PAYAE3LE PRIOR TO RaV1EW1NG THE <br /> DOCUMEM(S). <br /> S. pORCI[:FIT-F-VIRECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE ' <br /> CORRECTED BY THE END STAFP AT THE EXPENSE OF THE APPLICANT. THIS ADDMONAL <br /> 3$RVICE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PURL1C FILESIMCORDS$HALL Naf Bb REMOVED FROM THE EHD E'11,EMISES. <br /> SIGNATURI?OA APPLICANTA310 gal <br /> j' <br /> SIGNATURE CFPTC1A . <br /> DATE <br /> E1{OU 14 (REV 11192) <br /> �i <br /> i, <br /> ./t[L <br /> i� <br />