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v a� SAN JOAQUI�COUNTY r <br /> PUBLIC ILEALTH SERVICES--,' <br /> It y FNVIRONMENTAL HEALTH D"ION <br /> PUBLIC RECORDS RELE=ASE APPLICATION <br /> APPLICANT PPRON13 NO <br /> ADDRESS I /y e�S' ����L-Svc c`�e► �l Lc 9'yG o <br /> AGENCY <br /> ADDRESS I�1AM8 PHONE NO <br /> I <br /> PILE APDAM AGFJCY <br /> I DATE <br /> /J 1 � <br /> J �ij� �9G'7 �L✓(y7L� <br /> ftp yF Q r y SU s � ._—• ,Y"l• <br /> L )U L <br /> ve w /may[ L✓ <br /> 6 F G v v7- 02� <br /> � L ii�C•/ r�7 C,j ( <br /> �'f, 7I moi! 7 •OL <br /> OOOr'ii) f S ' L <br /> O p <br /> P <br /> Rd T.,- �{'t�c�e./Z i <br /> MS 'Nomc6 I9 SU$J1rCT TO THE ItCQUIR13MENTS IDBNTIF1$D IN TIM PUStiC I-IRAl <br /> SMVICWE VIRONMIINTAL HEAL'I-H DIVISION(MND)POLICY X4'92-007,ORDINANC13 CODS OF Sf1lN <br /> JOAQUIN CCIUNTY , RHO FEES AND SERVICE; CHAR GB RESOLUTIONS, <br /> STATE <br /> GOVMWMEI T CODE AND T1413T1413EiVIDfiNCB CODE. WATER CODh, <br /> t <br /> 1. A M+IMUM OF TEN (IU) PREMISE ADDRESSES PER REQUEST, <br /> 2. PUBLic FILESWCORDS REVIEW ARE 13Y Q �, APPOINTMENTS A H <br /> ARRANGED Y CALLING (209)468-0340. OFFICE HOURS VOR APPOI�S ARE SCHBDULBJ7 <br /> P.M. 7H U FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. I ( <br /> 3. A PU LIC.'RECORDS REL ASMAPPLICATION E 9A- <br /> -1"- E;q <br /> @Rfl9-�dbB_ <br /> 4• Std'filb-bBI'93iS—AI �IfiW�4It13S TILM-TI'�4b- (L-E-R$YI <br /> �CR E-S blt"B It�E�ARJ [18-AAl <br /> --AeG�lI+4E <br /> 5• pUB FILES/RECORDS NOT RETURNED IN TH>3 SAMI3 CONDITION AS REMVBD WILL BE <br /> CORRUCTED Y THE MMD STAPP AT 7-119 EXPENSE OF THE APPLICANT', THIS ADt)rnONAL <br /> SCRVICE WIL 913 BILLI3t)TO 7749 APPLICANT ICOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILES/RECORDS SHALL NOT RE REMOVED FROM THE EHD PREMISES <br /> SIGNATURE OF APPLICANT <br /> Dm4 zz S <br /> 'SIGNA'1RE OP RELEASING OFFICIAL DATE <br /> 1:11 <br /> oy I (REV 12/92) <br /> /moo` s 9 <br /> h , <br /> TOTAL P.02 <br />