Laserfiche WebLink
U1-UJ-17>V C.J --.L1 11 .�u.l iu«u •s .rov.r.. .....�... ...v. ..i •� •�-��. _�- <br /> EII DU is a i;v 5194 SAN JOAQUIN COUNTY <br /> PUBLIC IIF,AL'I7I SERVICES <br /> ENVIRONMENTAL IXEAL'7TI I3IYISION <br /> k v PUBLIC RECORDS RELEASE t PPUCATION 1 <br /> (Q�[APPUCANT0It I <br /> PHONE N qi�) �v' -ZZGL'7 - <br /> ADDRESS <br /> AGENCY NAME�1 PHONE NO <br /> ADDRESS_( _L tem iv►�!'r �'- 4�2 C-�O i CiAr 9�J f3 S <br /> SLE ADDRESS LEAD AGEtKI D <br /> O 1800 Pi . fzgen-MorJrr 5'C•. <br /> M off. F— <br /> ��t�trvi�T QST. <br /> © . 7=. 1.1101.1 , 51- 3S a 4 <br /> a 735 n1 . t,tt,110k1 :51. <br /> PAOO �� . t l N�ia�1 �6- 3,5-. 3 Q a <br /> 1 THIS NOTICE IS SUBJECT TO THE Rir <br /> sERVICESIENVIRONMEN?AL HEALTH DIVISION($HD)POLICY�1g4. W,ORD(NA2VCS CODE OF SAN <br /> JOAQUIN COUNTY, E140 FEES AND SERVICE CHARGE RESOLUTIONS. SPATE WATER C0015, <br /> GOv6RNMENT C0013 ANt)THE EVIDENCE CODE. <br /> 1. A MAxIMUM Of'TSN (10)PREMISS ADdRJ;69 PER REQUEST. <br /> �. PUBLIC FILESIRECORDS REytEw Is BY AlTQ jNTMENT QNLY. APPOINTMENTS ARE ARRANOBD BT <br /> CALLING ('209)468-03411. OtrMncg [LOURS " APPOItNIMENTS ARB SCI[EUuL�D MONDAY Tt11tu FaNVAir <br /> EXCLUblNti ROLIDAXS, $:00 AM-to 12:00 NooN AND 1:00 n4 TO 4:30 e1+M. <br /> 3. A Pt guc immims ItmAwe:APptJCATION (PRRA)Is REQUIRED. <br /> 4. PUBLIC FIL8S/AEC©RDS NOT RETURNED 1N TIB SAME CONDITION AS RECOVED WILL BE CORRECTED <br /> BT TNB RHD sTAPP At-MB IDCPOM OP THR APPI.IGNT. 'D114 ADDtflONAL SIMVICB WILL 1311 BNLLOD 7.0 T118 <br /> AM'LICANr PVR PAYAIEN7'. (See EHD PoucY 94-W7) <br /> 5. OQrotNAL PuaLlc FII ES(RECORDS SHALL NOT BE REMOVED FROM-tilK M4D PRwism. ! <br /> SIGNATURE OF APFUCANT <br /> DA-M <br /> SIONATURE OF RELVASINO UM, CIAL DATE <br /> No PHSIEHU REmiunlMLES Akil 1[OMPIED: <br /> W Itw— sn Ilomxana�tunr <br /> ,PNSIEHD RBcoRDslftgs axw ON 7119 ADb;t=(bs)14D7ED. YOU WILL 3I$NOT)FIED WU814 <br /> RmoR slIFILas ARE AVAILABLE FOR RTsY19M <br /> DAR - Rlr++..'a.r• po..rlennow dmr <br /> TOTAL P.R-3 <br />