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- w•Wv - <br /> Rug 19 99 09: 14a %w, <br /> 71 <br /> ,.4 <br /> {A./, �c f1 fj C [ <br /> ,1<5 „ <br /> SAN JOAQUIN CO YRp <br /> PUBLICfilanLTH SER -ICPS �._,. ., LIVED <br /> FtM%RONMEN'TA[, HFALT11 EIIVISION <br /> PUALIC ILECORDS, RELEASG PPI,TCATION AUG19 1999 <br /> 11C'E'LrTCANT � r,S is/Z- P ORE: NO W <br /> ADDRESS V,-V'•o. . � �{FACT}-1 <br /> /lC,[oV <br /> AGENCY NAME r �� S -::�e c��.._e-r_c�PEIt�JNE NO -3'3 <br /> ��;�`FS <br /> ADDRESS Gd� <br /> �ptik+#it�il+###fIr1F#tYtY3�FtYiti�4+*##Y4�iRttik#fYtF#iM#t74Y*YYitktt <br /> �p. � Qt1.S1uffI .10tiRA_hI�IZ <br /> E c. nes, or 31,6 <br /> Gusi <br /> Tri <br /> Z7(� E /Nin_Q�^l�+►� r Wcti r `'�'J"Y V <br /> os <br /> �� E 44'r b tr ve S frc Tr <br /> -Z G,- wev.C•i InV0 <br /> ki k+.t!k##k 4tVYf 14+•tff4lt ky A#r•k♦Y*ilii sr•�i•ktrtr irk Fkktf is i i • •iA k• <br /> tHi.s W0111r15 IS SUBJ15CT TQ THE AEDUTAEMENTS IDENTIF ED IN THE PUBLIC HEALTH <br /> S ftVIC�SfENWFtDNMENTAL HEALTH DIVISION IEFIW PpLI 'Y #94-007. ORDINANCE COPE OF <br /> SAN JOA.01409 COUNTY, EI1DO Fa AND SERVICE CHARGE F ESOLUTIONS. STATE WATER CODE. <br /> GO_VER44E' 7 CODE AN0 fF .E]OflENCE <br /> . A MAXIMUM OF TEN JM PREMISE ADORES 5E5 PE:fi RE UE <br /> Z. PUptIG.FII_ESIR[CORI3S AFVLEAPP <br /> W is AY 41r9TMoo 1 1�L, At,rO1NfiMEnr75 AnE PriOCESS• <br /> LY1 BY [;ALLtRLG 12091400-3420. OFFICE.FI000S FOR APPO IW04TS.AHE SCHEDULE.:D MONDAY <br /> *'I-IaU Irm,0^v-tXCLUDING IEOLIVAYS.'8.:00 AM TO 12-00 t4OQN AND 1:06 TO 11.10 P}Vl# <br /> 3c <br /> � <br /> .3, A PUBLIC.FILESIRECOROS RELFASE APPLICATION (PFIJAAI IS FiEOUWJZD.. <br /> 4. PUBLIC I✓IL.ES/AECORDS IVOT-RE-TURNED IN THE SAPAE' �ONDITION AS RECEIVI=D WILL BE <br /> CORRECTED BY THE END STAFF Ar THE EXPENSE OF THE PPLICANT.- THIS ADDITIONAL <br /> SERVICE WtL-M BILLED TO THE APPLICANT FOR PAYIIIIE ISEE EHO POLICY 94. 007) <br /> 5, 4RIGtKAL PUBLIC FIEfaSjRECORDS SIiALL NOT i3C R ED FROM THE EHO PREMISES. <br /> •. ...a.. .....••i •.r•.,... ••♦• ♦ •.•• y a..•. • • . ••a •••.. <br /> SIGNATURE OF APPLICANT i DATE <br /> S{GNATIE OF AELCAMUG QFFGIAL� _DATE <br /> V <br /> EH 00 14-IREV 41961 i <br /> r <br /> TOTAL P.02 <br />