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tiAN ,ft)At,11IN (;tl[iN'1'Y - <br /> rlitlt ,[�: I1r;nr;1I1 SFI(V1CF_s ! <br /> 1�.NVillONNIENTAL 1111.A1,111 DIVISION <br /> 1'Ultl.l(' im(•t)lti s IlFIA .Atilk. APPLICATION <br /> A P1111CA91',.N orn Ss eep ('�i 1,: , PHONE NO <br /> O. .1_a" L ek:4r.. . <br /> AGENCY NAMTr _ i'IiONS NO <br /> A[)DRESS <br /> 1'I t~i3 <br /> 19ESS LI AU.A . <br /> 350 7 'S�'e.>re+�s _DT f4 <br /> 77 <br /> SAN'JOAIUE <br /> PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HlwA r. <br /> 1IT13. NOTICE TS f4unisGT `To -1TiC:~ REQUIREMENTS IDENTIFIED" IN''iMe;,pU$t3Cf' HHALTH' <br /> 'qt' -At.'nI i)IVISION (FMD);POL[CY*92-0O�.ORDiNANCSCODT30FSAN•' . .;m4 .i.. "- <br /> JOAQUIN:aCOUNTY -EHD FEES AND SERVICE CHARGE RESOLUVONS,.'.,STAIR WAtIA CODH. � <br /> rc)VERNINEN'rCUDBANDTHIF FvtDr�Ncr: c01)r z -f} rt ,: ," , F< r <br /> 1. &MAXIMUM OFTEN (10)TRi.KIISi's ADI)RGSST?S PER REQUEST. <br /> 7: PU13L1C. Fi1,ES/RECORDS IZFvrrW ARF RY' Al•PUrNTMENr 'ONLY.' 'APPO[NTMEN`I'S ARE <br /> ARRANGLD BY CALLING (209)469-0.141). OFFICE HOURS FOR APPOINTMENTS ARIVSCHEDULED <br /> KIONDAY T11RU FRIDAY EXCLUDING :110I..IDAYS, 11:1X) A.M. TO 11:00 NOON AND I:tb: i.M.TO 4:30 <br /> �. "r A`PUFTI.IC: R iCORt)S REI,I:AST? Ai'I'I.I(-AlION ANI)A NQN-REFUNI2ABL DEPOSITOPS'1R.(() <br /> IS REQUIRED. DEPOSITS WTT.I. HP RI-1111"tNED TO 'TIIE APPIJCANT IF THE FILESMECORDS ARE,'s:,'.._ <br /> N()'r AVAILABLE WTTHIN11113 CIISIX)DY OF'IHE EI11). <br /> AROV13 1136 'MMPI) DF I'f). 1T IS ArrtjuI) -rc)WARI)S.TIiE TOTAL-11 d!-REVIEW FEE. <br /> CIIARGH. (11133 RA1.ANCH OF 1111; CIIARGFS.ARi4'.DU r- ANI] PAYAHL13' 'RiOR TO REVIEWiNU THE <br /> M ENT(5). <br /> a } + <br /> 5. » yPURLIC rit.[:.SIRECORf)S Nt,)P itlsll 1TNFil)IN '#illi SAME COND[T1UN'A$R1;CI:IVED WILL 13E.;., <br /> CORRECTFD 0Y '111H,HIiD SI'AFF A]' '111H EXPEN511 OF 11ils.APPLICANT.,-"THIS ADDITIONAL:; <br /> ' RViCE..W[Lt. t1E H[LLED TO'HIP AIT1,1CAN'[' F(11t PAYMENT: f, <br /> �. '=:ORIGINA L PUaI:]C ! 1 r.- r 7, 7I'�jS RF ED FROM THE i 11D PREMISES.. <br /> _. r . <br /> _ E,r` i1 t- _x, <br /> 4 = <br /> } i- <br /> SVINATURE; OF APPLI M ,`�'`.._.. _ DATg <br /> !ZI1;NA1A Rv TN'RTii.F.n.ING U1TWTI.1r1'. DATE <br /> 1.11 nn 14 (RFV 12/92) `r di <br />