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SEP-07-93 THU 16 _34 P. 03 <br /> E[I ()(I 14 (KEv sit SAN JOAQVIN COUNTY • hp g5-17 <br /> PUBLIC HEALTO SERTIC <br /> ENVIRONMENTAL HEALTH blj 15I0N <br /> PUBLIC RUMRDS RELEME APPLICATION <br /> APPLICANT <br /> ADIAMS PHONE NO <br /> AGENCY IMAMS <br /> ADDMS <br /> PAtU <br /> D Y <br /> 0 4 <br /> nk '4 <br /> n ,i, i W'4 <br /> no <br /> � Fl i ga0 5 �a�111:,a AUS (� <br /> q60 r— -- Not, <br /> STHIS NOICF IS �IJBJUCT TO THEE VICES111"IRONMENT'ALHEALM DIVISION(EHD)POLICY 094.ow,ORDINANCE DE OF T E. <br /> IOAQUiN CrJUNTV', EMD FEES AND S$fiVICE CHARCg RESOLUTIONS, SIAT6 WATER COD✓= <br /> GOVERNMgNT CODE,AND THE EVIDENCE CODE• <br /> i. A M1,xnsuLLois (l0}PRRI4ISE ADDRGA" MR RLvalT• <br /> � xowyxTr.(FNT�ONLX. APPOD+LHEI+n ARE <br /> ARAANOLW et <br /> 2. POPitc FILENIkECORI76 REVIEW Lt er I.,,�..—. --p <br /> CALLING ({ry9}46i-03aO. OfFICB nouns FOR APratrtLIEHTI 'meg 4cDFDUtLtD MONDAY tNRU FRIDAY <br /> bCCLUDINa HOIIDA;VS, 8:00 M xM To 12:00 NOON AND 1:00 PTo 4:30 PM. <br /> 3, A P Nllc RSCOADs RMX,439 APPLICATION(PRRA) Ls KWmur- <br /> i <br /> 4. PUBW P1LS�91 CORDS NDP MURgM IN THE IAMB CONI/tFR7H AS RPL:jd1Yw RrA.L BTHE <br /> ET Tit6 EHDI STAFF <br /> kT 7UE M(MIN3S OP THR APPLICANT, THIS ADDPSIONAL 91MVICR WILL 111 Ri CdRR <br /> LL6D TO r <br /> APPLICANT FOR PAY 4W. (S" Wip POucT 94-097) <br /> 5. DRL41NAL Puetic FILBSJRECOfI <br /> bS SHALL NOr RR IItO.LOVRD FR0 <br /> 14 THR rHD MtEMUe9. <br /> DATE <br /> SIGNATURS OF APPLICANT <br /> SlOP4ATUR OF kIiI.EA31Np OMCIAL DATE <br /> No P1431END RqCopjyelPnRs ARR IDENTIFIED= o„e <br /> W.w tww�+w. <br /> PNS/EHD R cQkWrrnre cxlar oN THE ADDR><aa(rs)NOTRD. YOU WELL n NOs1 O WHEN <br /> ReCVRW,FIL.EB An AYALLA6/t loft U-Rrw: <br /> cane <br /> b.�am MnF'�°'dm <br /> TOTAL P.02 <br />