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Ell UO 14 (REV 5/94) SAN ,IOAQUIN COUNTY �(rj <br /> 1'UBI,IC HEA1,111 SERVICES <br /> ENVIRONMENTAL IIEAI:I'11 DIVISION y <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICANT <br /> L>� c>��1 n rc�/� PRONE NO C 0? ci' <br /> ADDRESS c PlIONE NU <br /> AGENCY NAME <br /> ADDRESS ' I ' <br /> FILE ADDRESS LEAD AGENCY DA"I'E <br /> � la. ._ rG! /�✓�nrC{ LI"�n J''� I ) Cr'� cln i/" � .Z9•S�- <br /> p fQQIg L�g ,V <br /> 117 J ik�("r' ,, r, vl —U-' 5 D /!�crr' <br /> hoc V Ilel/Y.l na <br /> w L00 � l-4rrr /� 35:�G=s% al� <br /> d � l,n <br /> e;' <br /> ('(—�����-�rcrl l t-7 3S•,�-So <br /> U THIS NO'IICH IS SUU11iCP TO THE RI-QUIREM1iNTS IDENTIFIED IN J'IIE I'UULIC 11FA1,1'N <br /> SI?RVICI:S/L'NVIRONMENTAL II1iALI'lI DIVISION (EIID) POLICY#94.007, ORDINANCE CODE OF SAN <br /> JOAQUIN COUN'TY, L•IID FEES AND SERVICE CHARGE RESOLUTIONS, STATL WATER CODE, <br /> GOVERNMENTCODI: AND'1'IIE EVIDENCE CODE. <br /> 1. A MAXIMUM OF'Ir.N (10) rREMISE ADDRESSES PrR REQUEST. <br /> 2. Punl.Ic PILES/RECORDS ItEVIi?W Is nY AI'I'OIN'I'MEN'1"ONLY. ArrOINrMrNTS ARE ARRANOrD nY <br /> CALLING (209)468.0340. OFFICE HOURS FOR AI'IX)IKTMRM;S ARE SCHEDULED NIONDAY TIIRU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM '10 12:00 NOON AND I:W rM 'ro 4:30 rm. <br /> 3. A PUBLIC REcoRos RF-LEASE AI'1'LICATION (I'RRA) IS REQUIRED. <br /> 4. PUIILIc FILL'S/RECORDS NOT Rlil'URNED INTHE SAME CONDITION AS RECEIVED WILL RI? CORRECI'IiD <br /> BY 'Illr EIID STAFF AT THE rXi'I:145E OF TIIE APPLICANT. 'I'1113 ADDITIONAL SERVICE WILL RE BILLED TO TIIE <br /> APPLICAKT T•OR PAYMENT'. (SEE EIID POLICY 94-007) <br /> 5. ORIOI14AL PUBLIC FILES/RECORDS SIIALL NOT BE REMOVED FROM TIIE MID PREM15E5. <br /> SIGNATURE OF AI'1'LICAN'C / 1 l DATE — <br /> SIGNATURE OF RELEASING OFFICIAL DA TI; <br /> I NO ITIS/L'I ID RECORD$/1'11.E9 ARE IUENTII°IGD: <br /> Pnnmmn.., <br /> LPIISIEIID RrCORDS/FILES EXIST ON TIIE.ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> PLES ARF, AVAILAIU.P, FOR REVIEW: <br /> n, ermmnn.., w.,,.,,•.,,,,,n.,n <br />