Laserfiche WebLink
a -.:U 1"12 1 a: I nF-r-1 �M JALTr- I•A eil r-aJ l/ <br /> SAN JOAQUIN COUNTY �-7_/.3� <br /> PUBLIC H6.LTil SERVICES <br /> FSIV11,10NMLNTAL, IT1+.AT:YH DI`YLSION <br /> PU13I' IC RECORDS RFLkASK APPLICATION <br /> APT'UC AM' &z -- PHONE NO <br /> A DRPSS <br /> -,<rte=-NAME- �t/i41�1CF�7 �_���1��A�+lr�+ N0_ _ �'fS'�o -6-Z6 �{ <br /> ADDRHSS j l02 .VJ- MA-9,44.. L!u SIPCX-7-3^ _ <br /> FHLB ApIJKj?ZS LSD� AGESCQY DAA <br /> r C40f GL AJI - alb 4 160 NOT •dr 1 L <br /> a r i n e-?LAF,,lV�C-r <br /> 3111S NOTICE IS StJii s-(-r TO 'rlrl- REQUIREMENTS rCCNTIFIED 1N THE rUBLJC IIEALTR <br /> SFiRVILLS/ENVIRO,4t.1!~NTAI_H AI-TSI DIVISION (l=11i')} POI-ICY1/92-007.1 7RDIt4ANCECODI= OFSAN <br /> JOAQUIN COUNTY. EIID FEO AND :SERVICE C1iAAGI; RESOLUTIONS. S"rA"£E WATER CODE, <br /> GOVERNMENT CODS AND TH8 EVIDENCE CODIr. <br /> I. A MAXIMUM OF'1EN (10) PREMISE ADDRLMGS FEE REQUEST. <br /> 2. I'11mic r'[t-cs/RI-CORi)S 1tFV1rW ARE RY APPOINT�j1" ONI-Y'. APPOINTME-WrS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE_ 116uRs r-OR APP01N1'I.l>;NTS ARE SCHEDULED <br /> NIONDAY THRU FRJDAY LEXCLUDINO HOLIDAYS, 8.00 A.M. TO I2M NOON AND 1:00 P.I.I. "£O 4:30 <br /> P.m. <br /> 3. A PIJRLri7 RF-CORDS RELFIAst: APPUCA-110N AND A NCV-RFr_LJ12r7AIII l Deposrr ov S18.4Q <br /> IS REQUIRED. DEPOSI'T'S wl(,I.•. SE. RE-1-URNED T[. l IE AMICANT II= TI1L• 1'1LESIRECORI7S ARE <br /> NOT AVAILABLE WIMIN VIII CUSTODY OF THE MfD. <br /> 4, 'THE ABOVE IDENTIFIED DEPOSIT 13 API'U D TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. TI1E BALANCE (?F Tim CHARGES ARE DOZ AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMENT(S). <br /> 5- PLIBUC 171LF-SMSCORDS NOT RETURNED IN E SAME CONDMON AS RECEIVED W11-1-BF <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THIS ADAI'i10NAL <br /> SERVICE WILL. BE BILLED TO-ME APPLICANT FOR �AYMENT. <br /> 6. ORIGINAL.PULILIC F11-1-S ECORDS SHALL. NOT BE R.EMOVEL) FROM THE F:NU FRFMISES. <br /> SIGNATURE OF APPLlCANT �- - - -- y DATE <br /> f <br /> SIGNATURE OF RELEASING OF FICIAL DATE. � <br /> F-H DU 14 (RI:V 12/93) - <br /> I <br /> I <br />