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5-13-19A6 d:58F'h1 FROM NC: Zd& &bb e/m <br /> 5� SAN JOAQUIN COUNTY <br /> pMUC im.ALTH SFRVICXS <br /> ENVIRONMMTAL HMALT11 DIVISION <br /> -, <br /> \n' rullLIC RECORDS REIZASE APfiLICA►TION <br /> APPLICANT Ktvin NONE NO <br /> D4CY <br /> RBss!ITO�W <br /> •o q�' f <br /> ADDRESS a rc "nt <br /> LEAD <br /> 170 D 1V- c AVS . �•Z 9C� IN — <br /> j <br /> 16.4 - 5 h w Ad <br /> - <br /> 1 <br /> y31 17 ET-+rlo 7.7.3 1' C h •r c t <br /> TS NO`nCB IS SUBJECT TO THB "QUMEM'SNTS IDENTIFIED IN Tf�S RJHUC HEALTH <br /> HU <br /> SERVICE&/ENVCRONMBN'CALHB�kI.,.7H DIVISION(EHD)POIiCY$92-007.OWNANCE CODE OF SAN <br /> UOAQUIN COUNTY, OW FM AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> OOVI RN3(FNT CODB AND THE EVIDENCE CODE- <br /> I. A MA)b(UM OP TEN(10)PRBMLSB ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILESMECORDS REVIEW ARE BY AP2Wt ffitf I' ONLY- APPOINTMENIS ARE <br /> ARRANGED BY CALLING (2N)4694 MJ. OFFICE YOURS FOR APPOINTMENTS ARE SCWWULED <br /> MONDA,y TMU FRIDAY EXCL UDINa HOLIDAYS,6:00 A.M.TO 17..00 NOON AND 1:00 P.M-TO 430 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELEASE APPLICATION AND A NONAIMUNDABLE DEPOSIT OF S79.00 <br /> IS RBQUW-ED. DEPOSITS MLL BE RETURNED TO THE APPLICANT IF THE FILESIRECORDS ARE <br /> NOT AVAILABLE WMM THE CUSTODY OF THE MID. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPIR D TOWARM THE TOTAL PRE REVLBW FEE <br /> CHARGE. THE BALANCE OF THE CHAM79S ARE DUE AND PAYABLE PRIOR TO REVIEWING THE <br /> VOCUMBN (S). <br /> S. PUBLIC FaXsjREcoRW NOT RI~TURNED IN THE SAME CONDITION AS RECEIVED WILL.BE <br /> CORRECTED BY THB Elil) STAFF AT THE EXPENSB OF TSE APPLICANT, THIS ADDIIIONA,L <br /> SERVICE WRL BE Ell I.FD'TO THE APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL RIBIIC FaXSIRBOORDS STALL NOT BS REMOVED FROM'LME OW PRIII&SES. <br /> SWI;A'n=OF AP' JCANT 4k DA-M I 114V ` <br /> SIGNATURE OF RANG OFFICIAL DATE <br /> ER 00 14(REV 12193) <br />