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r -�- r` '7Ca r r : r�i.ir•r r r .-r f ��. ., �s--r _._. , ._...._ v l./�/'�'-�" <br /> hzl� <br /> SAN JUI1,QUIN COUNTY <br /> rumiC uE-AL'x'II SERVICES <br /> V-N RONML'.1`d'i'Al. HEAVIriI DIVISION <br /> , RECUItDS IWXF.ASE APPLICATION <br /> APP[�CANI: _ ;;ll <br /> Cir IC r PHONE NO — <br /> ADORJF-SS <br /> A{;NhIL Y NAMIR PHONE NU <br /> T. <br /> a- 20lj�ree t- L <br /> - �--- -- �C 7 3 5'• 3 U nu, <br /> '1101S NCY!'!['!? l5 SVll16C1' 'iO 'IIIE [tGi FIIRf AfFNTS IDENTIIIED IN '17[1 PUBLIC FEAVI <br /> JOAQUIN12 SAN <br /> SFRvICE- COUNTY. <br /> OUNTY �G1ID F'EESAAND DIVISION <br /> ,SPRVICE CHARGEIRESOLUTION.�ORDINANCE STATEWAi)_ROCODE, <br /> JOAQUIN CO <br /> 0OVHRNil13NT CODA AND TIiH EVII)ENCU CODES. <br /> 1. A MAXIMUM OP-MN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2- F'l1RLIC [i1.E51RfCnRDS ItE�1I W ARP 0 �Y• APPOIN'TUP-N `S ARP <br /> ARRANUM) BY CALLINO (209)4169-0340_ OFFICE llotIRS FOR APPOIN'MIEN't'S ARE sCiiLr�t1LED <br /> Nir. TgL)AY 774RU PIUDAY EXCLUDING IIOUDAYS, SAX)A.M_ TO 12:00 NOON ANL) I:00 P.M.TO 4:30 <br /> P.M. <br /> :i_ A l'UQLlC RECO RVLEASC API'LJCA-FION ANC)A NL)tI r-FU�I)AIll- Di POSIT dig jTR.i3(1 <br /> IS REQUIRED. UEPUSI'IS WILL BE Rit lZ1RNED '10 "!]lr- Al'P(ICAN'r lF Ti - F'IL I SJREC()1tDS ARH <br /> NOT AVAILAIILE WnljIN'I)iI3 CUSTODY OP TI111 i's[ID. <br /> 4_ 'TBH.AHOVL IDEr7T11~IED DEPOSIT IS APPI-IFTOWARDS TtlE TOTAL FILE REVZhTEE <br /> ('FIARGE. THE BALANCE OP'IBE CHARGES ARE DUE AND PAYABLE ULM To "VLEWlIEIG THE' <br /> DOCUMENT(S)- <br /> 5. F'Ulil It, PPI.FSIRCCORDS N(Y!•RL-TI)KNED IN'nIE SAME CoNDI73OC4 AS RECEIVED WILL.BE <br /> e'(3R3tF�C:I'1�[l <br /> By '11IF? F tiI) SI'AFF AT THIe "PENSE OP 'nlF: APPI-ICANT. THIS ADDUMNAL <br /> til-itVH.'1± Wtl.l.BE H1l:1-.1;L)'T0'Tll!? APPIJCANT FOII PAYNII <br /> b. ORIGINAL PUR11C PIlyVRECOR"S SIIAI_L NOT BE REMOVED FROM 111E L-l'D PRE'MISL'S, <br /> SIGNA'LURE OF 11.PPUCANT _. —__. 1)AT'I3 <br /> SIUNATURE OPRV13EASENG 0Pf7CIAL— DATE <br /> Fit 00 14 (REV 1219"1) <br /> ti <br /> r� <br />