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Jul 27 99 01 : 49p `!on Chesney p. 1 <br /> 07-27-1999 12:50Pr1 —• CM TD - <br /> 'Poo 99-195 <br /> SAN JOAQUIN COUNTY <br /> PUSLiC HBALr" SERVICES <br /> etiv rTIONMETTrAL MRALTI1 DIVIS_TON <br /> P�U+D�jUIC RECORDS RELEASE APPLICATION <br /> APPLICArTr ��lj f�Lf���1� �� _ i PHONE NO <br /> ADDRESS -rag z-0 JL 6'A �r3� <br /> AGENCY NAME ' PHONE No -- <br /> ADDRESS <br /> • r't++rsrrv+►rr�erwtra++t*ww+♦+rrawwwa#rr+w.+arrr �rtrw++r+ar,�awr++# <br /> .:.. . ALL ADDRESS EiUSINESS Names/ BakZQR <br /> FACILI7XTYPE OF FILE <br /> t'u90W��dNs E'D.TRAty t37{, T"2tPCG "c- Prxoo�ct 95°G' �(GTIV GIST-rtFS02L'.4.P- <br /> �Q W.14.✓,vF D ?P � 3�c. n-1�k� M 7���4u � Ca. A1,7- y>r L1s� AGF-�Qr'L�i,P. <br /> • '�_�''4;#.k'i'#•.,r'.t_r.*+�1_tr+.�.tNi1`;N*.wy+�r/r+i+�iiiNi i�ir�f F#Ni�•i.�:'�M4tt•fi Y•R*r!+7f'btt .. <br /> YM13 N0TICE:(3'SUSJFCTT0.TFfE REQUIREMENTS IDENrifrEb 1N THE PUOUC 11CALTf I <br /> i,...-:.SERVtG $1F�UV�(�ONftdENTlk{ Ei�[LTfi 01VISION(EHD) FOUCY. 94"07:.ORVINANCE CODE OF <br /> A-41GAOQIN COUNTY. EHE) FEE ANO SERVICE CHARGE RESOLUTIONS.:ST1>fTEwaTER:CoT)(7 <br /> COvFRIOMEM1/T CODE AND T149EVIDENCE. CODE- <br /> "•'.l r.A MAXIMUM OF TEN 1j(q PREIfA1SE ADDRESSES PER REQUEST <br /> �Z. 'P UBUC:F)LFSMECORDS REVIIWN fS.BY/%PPQ1VTF4WT pNI—J:APPOINTMENTS ARE PRDEESS= <br /> 'E 6Y CAEI)NG 1Z091"g-3420- OT-T]F E HOURS FOR APPOINTM6IT5 AAE SCHEDULED MONDAY <br /> 7rIRV.fR16AY EXUt)bING.HOL GAYS. 8:00 AM TO 1 :00 NOON ANO 1:90 TO 4:30 PM. ` <br /> PUBEIC.FiLFSAFCOaDS 14ELGASE APPUCAT1ON IPRRAI IS ftEQUTAEO <br /> t a piJ6C�C r-1LtS/RECQRDS NOT RETvmE0 iN THE !sAmE CANDITION,AS RECFtVED WILL' BE 3 <br /> CCIRRFC1t I§Y:THE ENO STAFF AT THE EXPENSE DFITHE APPUCANT. THIS ADDITIONAL <br /> SEf1VISE WILL BE BILLED TO THE APPLICANT FOR PAYMENT. (SEE EMU POI-fCY 94- 007)1 <br /> ` 5. .0RiGINAL PUBLIC FILESIAECOROS SHALL NOT BE 1�ENIOVED FROM THE EiD PREMISE'S. <br /> Y•.•. �. ._.•�..��.w1'���'ha.��i. :�t0�0 iniLT •.♦1.......... .................r .♦ <br /> SIGNATURE OF APPLICANT .f1 DAT �-7 9 <br /> `• I$tGNA7UaE Qf RELEASiNGG0M0AL OATS <br /> 'ER'M 14 (RFV 9N96) <br /> TOTAL P.01 <br />