Laserfiche WebLink
L-4—O,, 57-M E AND I 5AN JOSE <br /> oATh k%9 N - 408 437 9526 P.02/02 <br /> SANWAQUIN COUNTyPUBLIC HEALTH bwAVICES a �ooN <br /> ENVIRONMENTAL HEALTH DIVISION �51 <br /> 0!01 304 EAST Ti`t RLOOR <br /> P011)4611-Mg <br /> #1000 ( -- . PUBLIC RECORDS RELEASE APPLICATION 4t <br /> CT 1 & 2002 <br /> APPLicAwT_ �d--T—l2 j i�a� etisntFssi�cEHcr_ S�,a�✓ Cay�no+�m�ni��SE �r <br /> ADDRaiESS ��S ��h A ! iww� /'71/!" ��N �I�.l; �r..... "��:'• <br /> PHONE FAftW LE_ yo13 — V-!3 7— %E,2.0 <br /> TENTATIVE'APPWNTMENT DATE <br /> (PI""owe 7 to 1 U11111wesIft"dy of sppNwtoe su tibnl io) <br /> EJ CHECK BOX TO EXPEDITE REgUEgT•t!1!pp i=EE ED IN 3 BUSWESS DAYS <br /> SIGNATURE OF APPLICANT DATE /dZ12 O r.0N <br /> FILE ADORM THIS 3901!7M STMp MONLY <br /> PROGR M EL$MOM SEARCH <br /> A <br /> cc <br /> AI <br /> r 4 UA., 49 s <br /> _- <br /> - ENVIRONMENTAL HEALTH DIVISION FILES - <br /> UNDEMOUNo TANK(UST)C6EAI UP SITE(LOP) O HOUSMO ABATEMENT O SOLD WASTE FACtLRY <br /> OnOt GLEAMiP SITE M01*4AV) O FOOD FACM"Y a SOLD WASTE V6NIMA <br /> tlMl ptifltf TAMC PNOM ORINCO EMtaDVAL) V OW KEUM O DABt11 <br /> HALA010M WAM 19 O CHIMN RJWCH O PK0""TW11T PLANT <br /> O TIERED PERMRTEd FACtLIT'1f Q MOrflt AMEL O PUMPER TIMXWVARMMiM TOIL ETS <br /> 4 TATY001BODY PEMRCING 0 POOUSPA M LAW USCI APPLICATION Sms <br /> G MMXCAL WASTE FACWW O PUBLIC WATER SYSTEM 0 aMffR(PUP"SPCCWY ABOVE) <br /> 1. Ust up to ten addresses In the spsee above. Select the type(s)of fileli from the list above by checking <br /> the appropriate box(es). At least one file type MUST be selected. Fant o 0109!4 al,3a or,mail to_the <br /> add�nit,�Indio-h d shove. <br /> 2 END will notify the applicant If any EHD files exist. An appointment for review will be confirmed <br /> approximately file bWnoss days but no later than ten(10)days after receipt of application. The Tiles <br /> will be held for a maximum of five business days for review. Appointments should be scheduled <br /> mmordingly. - <br /> 3. A file.thatJs actively bleing worked on by END staff may not be immediately aviiiiable for review. A new <br /> application may be submitted when the file Is available.. <br /> 4. Any file-.net returned In the same condition as released will be reorganized by END staff at the expense <br /> of the applicant. Future file reviews by the same applicant may require a$98.00 deposit prior to review. <br /> 5. 'MWATIVE appointment dates must be confirmed with EHD staff. <br /> 6. Applications received after 3:00 prn will be processed the next business day. <br /> CONFIRMED APPOINTMENT DATE. TIME <br /> DATE CONFIRMED PHONE FAX INITIALS <br /> It tEWW YES NO REYieW 1)AYt2 <br /> TOTAL P.02 <br />