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J (( I <br /> 00/061 <br /> SAN�r 7!� TT71lT ^� IAy 7 <br /> .7I-xL\-slOAQUI C Vll i l A' "% v 4, �u[f ll <br /> PUELIC'HEALTH SMvlcF.S ENVIRONMENTAL h'EALTH <br /> ENVMONAIENTAL.HEALTH bIVIMION PER,'vllT/SERVICES <br /> FUBLiC RECORDS REMEASE "PLICATION <br /> ,APPLICANT PROM NO <br /> ADDRESS—M3 <br /> AGENCY NAMB <br /> z. CA <br /> ADDRESS <br /> F U ADDRBS Ag-M= <br /> DA'I <br /> tiLo <br /> +3 <br /> _ <br /> C7 TK .0 efr k5 VrV—I- «C. ��F <br /> ill <br /> c3+�3 TC]S'SI= = F,oA�CgaxR.11C7l ""� <br /> k/U�. r <br /> / <br /> 60 <br /> TMS NOTICE IS SUBTECT TO THE REQLTfKEbfRVTS MENTIMD IN THE AUC FAITH <br /> SFRVIC EVENVIRONMEN AL HEALTH DIVISION(EM)POLICY#92-007,ORDINANCE CODE Ole SAN <br /> JQAQMN COUNTY, SID FEES AND SBRVICB CHARGE RMOLUnONS. STATE WATER CODE, <br /> C10VFKNMEh'T COM AND WE EVIDENCE CODE. <br /> 1. A MAXIMUM OFTEN (10)PREMISE ADI]RESSES PER REQUYa$T, <br /> 2. PUBUC FIT S/RECORDS REVIEW ARE UYAaglNnWff oNiY. APYOIAI'ITI4SIVT'S AR£ <br /> AItRANC3HD BY CALLiNCI (2M)46g-W40. UPF[CE HDUktS FOR APPOUq[MENTS ARE SCURDUL'ED <br /> MONDAY 711RU FRIDAY EXCLUDING HOLIDAYS, 9.00 A.M. TO 12:00 NOON AND Lt?D P.M.TO 4:30 <br /> P.M. <br /> 3. A PUBLIC RECORDS RELSAS.H APPLICATION AND A KOC Ij�Lk DEPOSIT OF$73.00 <br /> IS REQUIRED. DEP©WS WH L BE RETURNED TO THE APPUCANT IF THE FILBS/RECORDS ARE <br /> NOT AVAILABLE WI'MN THE CUSTODY OF THE EHD. <br /> 4. THE ABOVE IDENTIFIED DEPOSIT IS APPLIED TOWARDS THE TOTAL.PIIS REVMW FE i <br /> C-KARO$. 'T]f BALANCE OF THE MARGFS ARE DUE AND PAYABLE SRI_ 0� TQ RLiV1E�TING THE <br /> DOCUMHNT(S), <br /> 5. PII23"C M RS=CORDS NOT RETURNED IN THE SAME CONDMON AS RECD 'WELL BF <br /> CORRECM BY THE EHD STAFF AT THF, W(PEKSH OF THE APPLICANT, TIES ADDMONAL <br /> SERVICE WILL BE BIDED TO THE APPL3CANT F'OR PAYMENT, <br /> 6. ORIGINAL PUBi.['C MILES/RECORDS SHALL NOT BE REh+iOVM FROM THT IIIb FRIRI IISES. <br /> SIONATURFi OF APPLICANT <br /> f ,. <br /> SIGNATURIE of I2EL8ASINCr OFFIQAL DATE <br /> ESC 00 14 (REV [2192) <br /> a WPM 39Vd WZVi N zzzZV99916 90:60 000z/7,91co � <br />