Laserfiche WebLink
;�. <br /> i <br /> r...r <br /> Ld <br /> 00/061 <br /> n .0 <br /> ' SAN JOAQM COUNTY CUUO <br /> PUBLIC HEALTH SERVICES ENVIRONMENTAL h;_-ALTH <br /> ENVIRONMENTAL HEALTH bI UTON PERMIT/SERVICES <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> ' ADDRB$S - _ ---�. -HONE NO <br /> i' AGENCYNAME s <br /> ADDMS �PH NE NO <br /> i� <br /> ADDR$5 Wig.NCY DATA <br /> ;i I <br /> As <br /> volIx"A c_ <br /> IE + <br /> _30/c) <br /> TW's NOTICE IS SUBJECT TO THB REQUIREMUNTS IDENTIFIM IN THE PrTELIC ny.AI.TH <br /> I' S�RVICESIE�IRONMENTALHEALTH DIVISION(Mm)POLICY#'9x-007,ORDINANCE CODE OF SAN s <br /> IE; JOAQtnw cauNTy, E D MMS AND SERME CHARGE RWOLIMONS, NATE WATER CODE, <br /> I' GOVIMNMENT CODE AND THE EVIDENCE CODE. <br /> IE' , <br /> 1. A MAXIMUM OF nN (10)PREWSH ADDRE55ES PP.R REQUE,5T. <br /> i. 2. PCBUC FILEslRBCORDS RIEVWW ARE BY I LY. APPDINIMENTS ARE <br /> ;i ARRANGED $Y CALLING (Zt?9)4,6X-W40. OFFICE HOURS FOR APPODnWENTS ARE SCHEDULED <br /> "ON <br /> DAY TBRU MUDAY EXCLUDING HOLJDAYS,8:00 A.M. To 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> 3. A BLYC RECORDS RELEAS.B APPLICATION ANIS A KQT��DEPOSIT OF$78.00 <br /> IS REQUOUD. DP.POSM WILL 1319 R sITURNED TO THIS APPI.XC NFA' <br /> Elf <br /> NC)T AYAI�LE WMUN THE CUSTODY OF THE BHD. TIM FILES/RECORDS <br /> ARE <br /> 4. 7UE A190VF_ IDFNUFMD DEPOSIT IS APPLIED TOWARDS TIME TOTAL FELE REVMW Fl~r, <br /> DOCUMENT(S). <br /> CHARGE, 'PIPE$ALADICE OF THE MARGFS ARE DUE ANI)PAYABLEDRiTO 1mVIEwmG THfi <br /> . PU11LIC MIM/R$Ct7RDS NOT RFT uRNEb IN THE 3AMB CONDITION AS RBCaYHI7 WrLL 391i <br /> CORRECTEp BY THE EHD STAFF ATiE WaTssu or THIS APFL,lCANT. II8 AbDITIONAY. <br /> SERVICE WILL 8E BaUD TO THH APPLICANT'FOR PAYMENT, <br /> !E b. CtiliIG1NAL TCTBLtC FELESMECORDS SHALL,NOT BE REMOVED PROM THU� <br /> Il P'RHMISES. <br /> SIONATURB OF APPLICANT <br /> SfGNATuRE OF RELgAsING OI't=1QAL <br /> EH 00 14 (kEV 07.192) DATE <br /> 3OVd Wvzv1 N _ZZZb999I6 90:60 000zlZolco <br />