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1:11 Ott 14 (REV 5/9, SAN JOAQUIN COUNTY c�r%Ci "u.(11-rza) <br /> I'UIILIC HEALTH SFUMCRS ,% <br /> Ii.NVlR0N1V11,NI'AL I1EA1,111 DIVISION ti >` <br /> 1'U1ZL1C ILLI'COlWS R11"LEASE APPLICATION <br /> AIII'LICAM PHONE NO <br /> ADDRIISS ztj <br /> — <br /> AGENCY NA L PHONE NO <br /> ADDRESS <br /> I ILL AllU1LLSS <br /> LEAD AGENCY DATH <br /> ss� ox1.roa <br /> IV <br /> o up// � -'t 9 <br /> IT- <br /> n •rr.i1�•� T� <br /> TIIIS NOTIC1: IS SUIUCCI* TO '1111; R -M)IREMENTS IDENTIFIED IN -I'llE PUBLIC 11HAL-1-11 <br /> S1;ItVICIiS/ENVIRONMUNTALIIEAUHI DIVISION (EID) POLICY /!94407, ORDINANCE CODI- OF SAN <br /> J0AQ(JIN COUNTY, EIID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMENT CODE AND 'f11E EVIDENCE CODE. <br /> 1. A MAXIMUM OF TIiN (10) PPEMISE ADDRLiSsES PER RL•QUEsT. <br /> 2. PUBLIC F11.ES/RKORDS REVIEW Is BY APPOINfMEN-r ONLY. APPOINTMENTS AR13 ARRANGED BY <br /> CALLING (209)468-014(). OM-- IIUURS FOR APPOINTMENTS ARIi SCItFDULIiD MONDAY Timu FRIDAY <br /> IiXCLUDING IIOLIDAYS, 8:0U AM '1-0 12:00 NOON AND 1:00 PM To 4:30 Pm. <br /> 3. A I'UIILIC IRIi(:URUS RELEAsti APPLICAHON (PIRA) IS Rr-QUIRED. <br /> 4. I'1 nuc FILES/Itl?CORDS NOT Rt-.-rum: Ili SAME CONDITION AS RECIAVED WILL BE CURRECb <br /> 1'Ii <br /> By -rim, 1:111) STAFF AT -rim tiAPENSF ot-. Tit l3/r 11, 'ANT. TIIIS ADDITIONAL SERVICE WILL BE BILLED TO TIIE <br /> APPLICAN't, rOR PAYMENT. (SEE ];IID POLI -007) <br /> $. ORIGINAL I'UIILIC FII, Ec litti)S Sil T BE REMOVED rROM —run EIID t'REMISE.S. <br /> SICNA'1"Ultli OF AI'I'LICA T- - .- G ~ DATE <br /> SI(lNA'TIJREOi IRIi1,liASING OFFICIAL 1)ATE <br /> No PI IS/EIID RECORDS/Fuss ARIi IDENTIFIED: <br /> IUtne Rwewwn��e MMFICen<»+DAM! <br /> 1,1IS/EII1) RECORDS/FILES Lxmr ON TIIF, ADDRESS(ES) NO-rED. YOU WILL BG NOTIFIrim WHEN <br /> Ite(:om)s/I'ILF,S ARG AVAILABLE FOR REVIEW: <br /> JIAM Rwvw+m ttrt Ntntnr•rntrt ll�tnt <br /> E �14J <br />