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1� <br /> 48 AA <br /> IAhR-3I-99 �1 <br /> 49-0771 <br /> SIN COUNTY _ <br /> s <br /> SAI` JOP TH SERVICES <br /> :: PLIBU�C HEA�E�►�+T� DZaS ' TION <br /> ll Vlv DEMRELI3ASE APpI+ICA ` <br /> vc-MLTC1 I r <br /> PHQNE NO . <br /> AFPL-ICANT ;+ paotq s NO <br /> ADDRE3$ <br /> AGENCY liAMF #t'**:at+►irtttt* <br /> f ADDRESS t r***tit �rtt*t+r <br /> tisl <br /> ol <br /> 41 <br /> lk <br /> S4. <br /> tft+wt•+t*�tf*t*ttt�*+t,�+t*tt+tett+*xrt�r*�r�rtt*ff*r*,r* <br /> UGLIC HEALTH ' <br /> TRIS NOTICE IS SUBJECT TO THE TH 01EMEN EHDIEPOLICY ns94-007iN THE p ORpINANC�ODE OF <br /> SERVICESIENVITiONMENTAL HEALTH> ALTI! OfVIVISI(]N <br /> SAN IO4pUIN CoUjiTY. GHD FEE AND SERVICE CHARGE RESOLUTIONS. STATE WATER CODC. <br /> GOVERNMENT C17DE AND THE EVIDENCE <br /> 1, A MAXIMUM OF �J101JPREMISE AI]I]pFSSEa PER pt QUEST i <br /> 7_. PUBLIC FlLI=SIRECORUS RENIIEW IS I4Y APPOINT `LZ- ONLY. <br /> APPOINTMENT'S jLED PROCESS <br /> 8Y CALUNG 42 14fln-3420. OFFICE H <br /> 8�0 AM TORI 00 NOON ND):00 TO 4:30 1uiONDaY <br /> THRU FRIDAY EXCLUDING HOLIDAYS, . <br /> 3. A PUBLIC FILESlRECOROS RELEASE Ai'�1CATiON ff F1RA1 IS Ri=DU111ED. <br /> RECVED WILL <br /> h. PUBLIC FiLE51RECQRI�S NOT gET7HE EXPENSE [rF THE APPLICANTComoMOW4 Tlil; ADDITTQN BE <br /> CORRECTED 8Y THE EHO STED IN THE !WVIE AFF <br /> SERVICE WILL 13E BILLED TO THE AppLiCANT FC3g PAYMENT. (SEE EMD POLICY 94-0071 . <br /> S. ORIGINAL PUBLIC FILE$1ftEC01 DS SHALL NOT BE nr-MOVE1� tOM THE rrHD PREMISES. <br /> as f .�a�•1ia•a•{y/- i��«aa�f��a•+a.ra♦ _ <br /> { <br /> Sa,aa r•�+aa+*r♦*art aeraJ V� <br /> IGNATURE OP i�t <br /> APPLICANT ~_ <br /> DATE <br /> SIGNATURE OF RELEA'SING OFFICIAL <br /> EH 00 14 {REV 9196 �- <br />