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U I FM r Y Ht� ivy, crj-� zr_Ac v i r_�j �. - <br /> �f� <br /> SAN JOAQUIN COUNTY � -13 02, <br /> PUBLIC H AI,TII SERVICES <br /> RNVII(ONMHNTA.L IIE.AL'I'II DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPUCAr,fr C., �, �idv¢cnt Li1D l PITONS NO <br /> ADDRESS O a a <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> S <br /> FILE AUN RESS `— LEAD_AS�-N-CY DATI3 <br /> .L�Sy - ga� i" SLS"�fi 1 . r �55•1� n.rn _�—_ <br /> 3-1115 NOT1CH IS SLIMY-Cr TO TIM' REQUIREMENTS REQUIREMENTS (DENTIFIED IN '111E PUBLIC 11FALTH <br /> SER VICES/EN VIRONMGNTAI.1-IEAI TII DIVISION(Ir111)) POLICY Y4Z tf(}7,ORI3(NANCE CODE OF 3AN <br /> JOAQUIN COUN'CY, W(1) FFES AND SERVICE CHARGE RESOLUTIONS, BTAT'E WATER CODE, <br /> GOVERNMVINT CODA AND111E RVIDENCE CODER. <br /> 1. A MAXIMUM OF 1.01 (10)PREMISS ADDRESSES PER REQUEST. <br /> 2- ['0911C F11-RWRECORDS RFVIEW ARF B1' dC('_�?113f11 T�Ll APMINTMENTS ARE <br /> ARRANGED BY CAIAING (2.79}468-0340. OF[=10E IIOURS FOR APPOINTMENT'S ARE SCHODIALED <br /> MONDAY T1fRU FRIDAY II(CLUDING HOLIDAYS, 8.00 A.M. TO 12:00 NOON AND 1:00 1'.m- TO-4:30 <br /> 3. A PUBLIC RECORDS RELEASE APPLICA110N AND A NON-RF1'UNDA1tI,E DEPOSIT CR- 578.00 <br /> IS I2HQUIKED. DEPOSIT'S RT11. HE RETURNED TO THE APPLICANT IF T14E FII_( SlRECOR,0.3 ARE <br /> NOT AVAILABLB WITIIIN TITLE CUSTODY OF THE Ell')' <br /> 4. niF ABOVE IDENT7FiE.) DEPOSIT IS APPLIED TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. '111E BALANCE OF UIS CHARGES ARE DUE AND rAYAHLE j'F(lOR 1'U REVIEWING THE <br /> DOCUSI F..NT(S). <br /> S. PUBI.JC MLES/RECORDS Nar RMRNED IN THE SAME CONp!'nON AS RECEIVED WILL BE <br /> CORRECTED BY THE EHD STAFF AT 111E EXPENSE OF T118 APPIJCANT, THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO 771E APPLICANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT BE REMOVED FRO THE END pKEbiIS1 S. <br /> SIGNATURE 4F APPLICANT T DATE <br /> SIGNATURE OF R13bEASING OFFICIAL DA'L'E <br /> Ell 00 14 (REV 12/92) <br />