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JUL 011994 "` sAN joAQuw coumn E .- '12-41 i <br /> MMC WALTH SERVICU ;� , <br /> MMMONWMAL HEALTH D ON �, ° _ <br /> PUBLIC RECORDS RELEASE APPLICATION , <br /> i� <br /> APPPUCANT .�: S. (�ca.r l PHC)NH N4 ` 7�� t b 3 �*, i I <br /> ADDRESS S+*- IT, JjMcz- �.,, '7Sxo j <br /> AGENCY NAMEIHOM'INO <br /> �i ADDPBSS s7c-m-\1GD , <br /> �.c CA 4 <br /> DAIM <br /> cA <br /> ,p <br /> q-10 1jS.�r 26. <br /> rA <br /> I F 7 <br /> I <br /> THIS NOTICE 18 SUR%= TO 'TER REQUIREMB M lDEI+iT1 hHD IN THE FCTBLIC H&#I.7H � } <br /> t I <br /> SWVICES/EKVIRONMBNTAL HEALTH DIVISION(EM POLICY 192-ao7,ORDINANCE CODE OF qAN <br /> JOAQM COUP17 Y. EHD FEE;.! AND SHRVICB CHARUB RESOLUTION3- SATE WATER CODE; <br /> GOVERNMENT CODE AND THE EVIDSNC33 CODE. <br /> 1. A MAXIMUM OF TEN(10)FREIMSE ADDRE SSHS MSR <br /> s <br /> L PUDUC FjtSSMHCOR)S REVIEW ARS BY LY. APPoINTMffiV'x'8 ARE <br /> ARRANGED BY CALLIN(I (XTA684340. OMCB HOURS FOR APPOdNT'MRM ARE SCHEDULED <br /> MONDAY UMU FRIDAY EXCLUDING HOLIDAYS,8:00 A.M.TO 12M NOON AND 1:0D F.M.TO 4:30 I <br /> 3. A PUBLIC RECORDS REs1EASB APPUCATTOK AND AawriAntliquanwa�M DEPOSIT OF$78.40 <br /> r I5 MUIRED. DSPOSM w LL BE REIVRNBD TO THE APPLICANT IF ME RIALW"CORDS ARE � I <br />[ NOT AVAMABLB WITHIN THE CILWWDY OF THE BED. ' <br /> 4. THU ABOVE IDfiN'nR;D DEPOSIT IS "PLIED TOWARE)S THE�17XWAL FILE REVIEW FM <br /> CHARGE. STIE BALANCE OF THE CHARGES ARE DUE AND PAYABLE Wo TO REVIHWINU THS <br /> DOCUM S). <br /> I <br /> S. PUBLIC pILMMXCoRDsjjoT RETURNED IN'IHB SAME CONDITION AS RBCIRVED WILL BE ! <br /> CORRECTED SY THE EHD SFAFF AT THB EXPENSE OF THE APP ANT, MUS ADDMONAL <br /> SWVICH WTU BH BILIZD TO ME APFUCANT FOIL PAYMEgT. <br /> I 6. ORIGINAL PUBuC FILEIRliCORDS SHALL NOT BE RHMOVM)FROM THE EHD PREMISES. <br /> :I # <br /> SIGNATURE OF APPUCANT p DATE <br /> f <br /> t <br /> SIGNATURE OF RFIEASING OFFICIAL R DATE <br /> 0100 14 (RSV 12192) <br /> i # <br /> =1 <br /> } <br />