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LII UU 14 (REV 5/94) SAN JOAQUIN COUNTA' ; <br /> I ulAC IIEAL7'11 SERVICES <br /> IENVUkONM1ENTA1, IIIEAI;I'II DIVISION <br /> PUBLIC RL+COIU)S 1t1EI, EAS1s APPLICATION <br /> APPLICANT �_;�Q�y., �(^r /i'1r� Lo �G;_ PHONE NO �i� <br /> ADDRP�SS�r�r� r`/ ;�i J� /l• — 7 'rl � �, � I (� _ �iaL��:�� �1 `��/� ;' <br /> AGENCY NA, IL PHONE NU <br /> ADDRESS <br /> FILL ADDRESS LEAD AGENCY DAJ <br /> Is <br /> 23, <br /> t <br /> I'IIIS NO-IlCE IS SUi3JECi' TO Tltr REQUIREMENTS IDENTIFIED IN THE PUBLIC IIEALrl4 <br /> SI.RVICI:S/ENVIRONMENTAL IifALTII DIVISION (EIID) POLICY !!94-007, ORDINANCE CODE OF SAN <br />_� '--JOAQTRN COUNTY, ttl-D FEES- ANU SI.RVICE CHARGE RESO-LUTIONS, SPATE WATER--CODC, <br /> GOVERNMENT CODE AND'114E EVIDENCE CODE. <br /> I. A MAXIMUM Of TEN (10) PREMISH ADDRESSES PER REquerT. <br /> 2. I'Unl.lc FILES/RECORDS REVIEW Is BY L1i'I'OIN-rMEN,rONLY. APPOINTMENTS ARE ARRANorn uY <br /> CALLING (209)46940340. Orrica 1IOURs rOR ArmiNTMENTS ARB SCIHiDULED MONDAY TIIRU FRIDAY <br /> EXCLUDING IIOLIDAYS, 9:00 AM TO 12:00 NOON AND 1:00 rnt To 4:30 rm. <br /> 3. A PUULIC RECORbs RELEASa AI'I-LICA-rtON (PR1ZA) IS REQUIRED. <br /> 4. PUBLIC PILES/RECORDS NOT RETURNED IN TILE SAME CONDITION AS RECEIVED WILL UP CORRL•CTED <br /> BY TIIE CI10 STAFF AT THE EX!'ENsE Or THE APPLICANT. THIS ADDITIONAL SERVICE WILL BE BILLED TO Tim <br /> APPLICANT POR PAYMENT. (SEE EIID POLICY 94-007) <br /> 5. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMovr-D PROM THE EHD PREMISES. <br /> /1 rl <br /> SIONATURE OF APPLICANT}—� , 6�a f<v.�J.-� DATE <br /> SI(jNATURr OF RELEASING OFFICIAL DATE• <br /> l <br /> No PIIS/r--IID RECORDS/FILES ARE IDENTIFIED: <br /> J)A TM! RWmXIJWe n, WmrvCA"f.DAM <br /> 1 <br /> PNS/END RECORDS/FILES EXIST ON TIIE ADDRESS(ES) NOTED. YOU WILL BE NOTIFIED WHEN <br /> RE•ConI)S/FII,FS ARE AVAILA111.1; rOR REVIEW: <br /> DAM? �„NOM41n , t4nlr-An—PAIR! <br />