Laserfiche WebLink
r . . <br /> f <br /> San Joaquin County Public Health Services <br /> Environmental Health Division <br /> 304 E. Weber Avenue, Third Floor <br /> Stockton', CA 95202 <br /> I <br /> RE: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: ' SIDS <br /> ADDRESS: I 0S I (C <br /> Complete #1 if there are multi le site landowners. , <br /> Gompiete#2'if you�are tris sole—sit`e 1'andowner. <br /> 1. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primary or Active Responsible Party: <br /> 1 certify that the following is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: <br /> Ii <br /> 1 <br /> 2. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> y Name of Responsible Party: <br /> _ _..,�---- _ vim» ,--^----"�" —@-•-=- — „'-.=,,,--�-�.��: �: - <br /> I'.. certify I am the sole landowner for the <br /> above site. <br /> Sinc rely, <br /> S natur <br /> 1 <br /> i <br />