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d �Hlol 1ti1J71 <br /> u cin—i-i?� VL'J1�' rnV1' <br /> i t � <br /> i 1t <br /> I <br /> I ' <br /> I � <br /> SAN JOA0jJ TN CONY <br /> I PTJBLIC- 111Mi-TH SERVIC'$ <br /> ENVIRONMENTAL HEALTH DIVISION 3339 i Y� <br /> RDS RELLASB APPL7CAT ON <br /> I PUBLIC RECO y _� <br /> _ <br /> PROVE"^NO tF—vG <br /> APP ICANT L <br /> ! ADD SS ��(A C(c- PHONE NO <br /> AG Cy NAM— <br /> ADD ESS <br /> re{.i tw'kir*+t�r�ir#r"��''�s�-lrttr�#fit#�tr�i',t*��,r,r,r*t4*f��rdr*t�rtittrttkr��.k* <br /> Ty <br /> gV[,!, AI?DI�E,�j,� FAC F FYLB <br /> �hA __ n I1 <br /> i <br /> X12 <br /> I <br /> • rt ttt,ta***t,t*�r-trtxrt+t•k•r•k.rwtittt*ttt�t*•k*�t*�r*�t*#�r**�r* rr.,a,t.r*tt�#ww* <br /> THIS NOTICIE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED 3N THE pUBUC HEALTH <br /> NCE CODE OF <br /> SEPIjViCESlENV1RONMEN CY #94 <br /> EHD FEE AND SEROCEECHA GEIRESOLUTIONS, STATE WATER CODE, <br /> SA,� JOA131JIN COUNTY, <br /> GOTERNMEHT CODE ANO THE EVIDENCE CODE. <br /> 1, MAXIMUM OF M 11o PREMISE ADDRESSES PEA REQUEST <br /> 2. ELIC PLESIRECORDS REVIEW IS By APPOpVTMEQtT <br /> ONLY. APPOINTMENTS ARE PROCESS- <br /> i ED BY CALEIpIG 12091468-3420. UPFICE HOURS FOR APPOIUTMENTS ARE SCHEoUt_ED MONDAY <br /> THIRU FRIDAY EXCLUDING HOUIDAYS, 8:00 AM TO 12:00 N06N AND 1:00 TO 4:30 PM. <br /> 3. lA PUBLIC FILESIRECORDS RELEASE APPLICATION (PRRAi IS REQUIRED. <br /> ! 4. ((PURLIC"LES/RECORDS NOT RETURNED IN THE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT THE EXPENSE OF THE APPLICANT. THtS ADDITIONAL <br /> SERVICE MALL BE BILLED TO THE APPLICANT FOR PAYMENT- (SEE EHD POLICY 94- 007) <br /> S. IORIGINAL PUBLIC rILESIRECORDS SHALL NOT BE RFMOVED FROM•TWE EHD PREMISES. <br /> ilii�!!rf•llf fiif�i f• ! fi ii�f!!�l�lf la�f/if�ai/illi/i!!lil7l t!!!!4 <br /> 5IGW1 TUAEI OF APPL)CAN DATE <br /> SIGNATURE{OF ptELEASING OFFICIAL DATE <br /> d".00 14 EV 9196) <br /> 1 <br />