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FROM : NCA Env-:rcnmenta.l • PHGNE NU. : 269 309 4229 . flat. 12 2U+J1 VJ7:U'lP � r'd <br /> SAI A4UIN COUNTYPU8LICHEALTH SERVICES <br /> ENVIRONMEfrALMEALTH DIVISION <br /> Rh 3004 EA6T WES GR AVEKUE.7NMO RMOR <br /> \• 'TQCKTOU Cls 282M { <br /> '• =3446&3420 <br /> PUBLIC RECOR13`a RE.EA9E AppUGA,TiUN <br /> 1 <br /> - <br /> G C anau+sssu acv r i c h At,4 N el2t:�O N Q Also c . <br /> nasus sa z J n f . t t 0 UG is t:J l.A to tiv Lo t>-i C f 4 5 <br /> VHow , ��- 3t a - 4228 <br /> rEuraz]v>; ArPolttTnhrxrtu l�arcli'----LZ0oL g ;"30 f}t`l <br /> \ (P{saea aw.T so 7e bus&,,"easy Kant dau ct a <br /> C1� "X"uaCmltlin <br /> /tel CHECK BOX TO D34U=E RKQUE3T-AE.00 , <br /> SIGNATURE aF APFLiCANT DATE V <br /> A I I ,'n �-)-oc�C�nn cpzaooltE,3 <br /> / Ls F. C TEY $'E. Edison <br /> Cs0 rn ' <br /> � 65 .SaLinreln5{-, 5fiee ..Munich sv![ • a5S� �Sd7 <br /> I u So. L i t nS . bulgy iS 3S.2G <br /> A <br /> W. c. r _ dvra # -X03' 3s� io <br /> W Gaete 3SaL i <br /> LHVIRONUENTAt_N EALTH DIVISION r4LCi <br /> UMSo3iflitaUAD-rMix iuz'TC1: n`SC[ ,iWam a VMfl8 uu ASA'rmmIr 12 9t9 MWASiEFACnM N8 <br /> crr2=CLEANUP MTi<(Nf3N44pl 0 "=PAC LM CZ 9C7:JII wAv'rt:VEAIr.1£ <br /> UNUUGAtn=TANK(r�4➢n2QaLYn;R�d?c3VAy Mo0ala%11Fy C23M in <br /> Nn7ARt1C)ySYtAS7g 4L•PU`F7A7Trft R <br /> CMUCSMNAAMOR Q F%O TR'L4T9ZNT PLAW <br /> TLFtfo P.CR8AT7=FA.CaX.-r to MUTM.M1ioyu ❑ PUMPER Txuc0LNAR4tCHEu TCaETS <br /> D TAtTC M=YgWRCH ; G POCIJWA M r.AHO U3EAPPS3CI�ISON GrrF'S <br /> C U=cALWAOT€FACV-uY PLrAUCVw-a.&-,wr yi R OTKEA(P9.G.6E SPKCiFV FH6Ygi <br /> t. Wat up to tan ndWaa5es in the space abuyo. Saimct tl:n typa{s}of files front the Ilstabove by a aCWng <br /> the atipruprirde box(pa). At feast one fila tip*MUST be saieCled Fax to fZ091454-0T3$ r mail jn(hr_ <br /> addtnaa indicalM above. <br /> 2 EttO watt notify the appUQc ltany MiD Tiles artist An=p ainimant for roviuw wM ba confumod <br /> approximately five buslnass love but no 12W than tan(it)) dayo after racoiptnt appQwUon. The tiles <br /> will be held for a maxim=of f-orn buairmss dayxtor review. Appointmmts should he scheduled <br /> 3. AA fU than is a=avefy being vrorkad on by E}fi]staff may not be immediately avalisble for review. A new <br /> application may be ssubmittad w{wu the fila is","We. <br /> 4. Any hale net rectn7ted in the aamo am'ditkm ay relaaund waif hm roe anl�d b rl fm&Leff at the <br /> of the applicant, Future file reviews by the same applicant may r'aquim a Sn 00 tieposit prior to TuYwN. <br /> 5- ENTAMVEappofntmantciatesmust becnrdirmadwith EHDsutt. <br /> (i. 'TAp�i,ficatlons recaivad attar 3=pps will be procesaed Vie next busirsoaa stay. <br /> CONFIRME13 APPOaWTMO T DATE <br /> TIffle <br /> j OA-MCONFiRME13 PHONE FAX LNIMALS <br /> t V1—�NED YES NO KEVIEW DATE <br /> sM •. ..io... <br />