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SAN ,1OA01JIN COUN'i'Y <br /> 1'UIILiC 1111"AlAli Si,.ItVICIU, <br /> '-lwNViHONNlEN'1'A1, 11EAi;l'II J)iV *'0t0N <br /> I'UIZL.I(' itl�,C0 ltl)S RELEASE APPLICATION <br /> nrPi,1CAN'i' �{ � �c/j G-------_---,I'IIONE N. _' ?�� <br /> ADi)RP.SS-/�� GQ .G.._._. �� d <br /> AGENCY NnMi3, 5i1 I'H()NE N <br /> A i.)DRPSS --- -/- --------- <br /> DILL ADURLSS '..__...._AGL- <br /> 1/ o(/' vim. -Us� Z <br /> .z.��. -�'''" /�''v/��`moi! l,/Cl�—L'-Cf,�r.—�'�s�` °�` G'c�� •^ ,r!Q <br /> Z��er_�5 <br /> PAYMENT <br /> --------- REC IY <br /> ED <br /> _ JAN 2 8 1994 <br /> 11114 NO"1'ICF. IS Si1BJFCr 'TCt 'Illti Rli(11111t1iA11iN'I:C-_.TDF ---- � �.IC E-IEAi:I'LF <br /> SI:RVIC'FS/iiNVIRo)NMFN'rALilFiA[:I'lI DIVISION (F-111)) POI. AC"���EUr SAN <br /> lAQUIN COUNTY, Fill) FEES AND Si�RVIC'F CIIAItGF -OL 'TIONS, STATE WATER CODE, <br /> C;()VFRNMI'sN'1' ('04)F AND T11t; FVI1)I?NC'Fi CODE. <br /> 1. A MAXIMUM OF TTN (10) PREMISE ADDRESSi'sS PER REQUEST. <br /> 2. PUBLIC FiLES/RECORDS ItFVIIiW ARI; BY nPPOIN'1'MENT ONLY. APPOINTMENT'S ARE <br /> ARRANGED BY C'ALLiNG (209)46.8-0:340. OFFICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY T11RU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. 1'0 4:10 <br /> 1'.A1. <br /> 1. A P( BLICRECORDS RFLI?ASii AI'I'I.IC'ATION AND A NUN-RErUNDABLE DEPOSIT OF 578.00 <br /> IS RFsC1(11RFD. I)iiPOSI'rS W11,1, IIF RTi'1'URNED •1Y) 'I'tlli APPLICANT IF 111E FiLFS/RFCORDS ARE <br /> NOT AVAILABLE; WITHIN 111E CUSTODY OF 'i'ITIi FI11). <br /> 4. THE: ABOVE IDENTIFIED 101"OSIT IS Ai'PL1i:D 'i"OWARi)S T1IE TOTAL FILE REVIEW FEF <br /> C'IIARGF. TiIF BALANCE OF TIM CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). ' <br /> 5. PUBLIC FILES/RECORDS NOTRETURNED IN THF SAME CONDITION AS RECEIVED WILL BE <br /> C'ORRECi'ED BY THE MID STAFF A'1' TIii! I:XI'ENSE OF 171E APPLICANT. THiS ADD1110NAL <br /> SERViCE WILT, BF BILLED TO Ti E APPLICANTFOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILFS/RFCOitDS SHALT. NOT BE REMOVED FROM 111E EMD PREMISES. <br /> Sit1NA'IT1RE OF APPLICANT <br /> L SI(;NA'rliRf-OF 1tFLiiASING OFFICIAL DATE <br /> 1:11 00 14 (RT?V 12/92) - <br />