Laserfiche WebLink
�iLIVI BYr� r r7 . •-- <br /> . <br /> PostiP Fax Note ' 7671 0810,} L V . I t vm Fy I <br /> 99-122 <br /> SAN JDAQUIv Cvvw'ri <br /> PUBLIC REATTH SERVICES t/�/�Vi1� {j <br /> ENVIRO AL HEALTH DIVISION <br /> PUBLIC MCORD3 RELEASE APPLICATION <br /> APPLICANT ��Y1YYlPX�. J PHONE NO -7 -4 AZ(a M0 <br /> ADDR$93 � <br /> AGPRONE NO <br /> ADDRESS <br /> PULfl: ADDEWS B q UAW. PRQGRAM OR <br /> TYPEOUD "I'll <br /> OP E R <br /> i <br /> saw 1 <br /> -YHuAttic, f L <br /> J <br /> W <br /> THIS NOTICE IS-SUBJECT TO THE REQUIRE ENTS IDENTIFtED.Itt THE PUSUC HEALTH <br /> SERVICESIENVIRONMENTALHFALT14 DIVISI N (EHD) POLICY /94-007, ORDINANCE CODE OF <br /> SAN JOA.QUINCOUNTY, EHD EEE AND SERI hCE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND THE EVIDENr-E C DE. <br /> 1. A MAXIMUhIOF TEN J=PREMISE AUDI SES PER REQUEST <br /> 2. PUBLIC FILESIRECORDS REVIEW tS'BY Al EMMEArT ONLY, APPOINTMENTS ARE PROCESS- <br /> ED RY CALLING (209),469'3420. OFFICE HO(RS FOR APPOINTMENTS ARE SCHEDULED MONDAY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 kM TO 1200 NOON AND 1:00 TO 4:30 PM. <br /> 3_ A PUBLIC FILES/RECORDS RELEASE APPL CATION (PRRAI IS REQtARED_ <br /> 4. PUBLIC FILES/RECORDS NOT RETURNED IIN THE SAME CONDITION AS RECEWED WILL BE <br /> CORRECTED BY THE EHO STAFF AT THE EM ENSE OF THE APPLICANT. THIS ADDITIONAL <br /> SERVICE VAEL BE BILLED TO THE APPLICAN FOR PAYMENT. [SEE EHD POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILESIRECORDS SHALL NOT BE REMOVED FROM THE EHO PRE?AISES. <br /> . •!a li moi.............. ...! .. .il.r ♦!!.J!! .............. 1 11 44 <br /> SIGNATURE OF APPLICANT OA4E�3f <br /> SIGNATURE OF ASZ4,SING OFFICIAL DATE <br /> EH 00 74 (REV.9/96) <br /> k. <br /> MAY 1 3. 199c noTa_ P.n� <br /> :�iVVin.JrJivltN I;�.L I-ti. - _I �. <br />