Laserfiche WebLink
HN.ICAL TF1_ :916-371-1809 ' Jan 11 '95 13 :54 No .002 P -02 <br /> ISAN JOAQUM COVN'TY <br /> PCBLIG STH SERV7M <br /> r PITA1,1C. U;r.CQRIrS RELEASE APPUCAIION <br /> AMICAN T CAJ of <br /> ACT NCY NAAM -X FHQNE NO <br /> ADDRESS L��,•.t <br /> AQkMS DAM <br /> �f � C C[7'� .G!�U) L:A X31,^c Vii, �r i G�` a� 3 5• �0 �M1 "� s ; <br /> 27A <br /> ?G$ E6t� lnrc�. � <br /> � �I�p�i%►J{� �'v�i?� Z�(G7{� ar.��,t,�z rr•+v�Z �.[r ut-��ly�- � .�o• <br /> O tt- arc f ►�s.,c ��rr�+-rr�+..d ""o F' C;jZl rT4-jAjjj� /, -TM,4C_ <br /> 01C}F�° S1, 'r'Y�1�C' 3 S F� <br /> im9 NOTICE IS SUBMCl' To '"IR TirQuIRTIM11141Cq U-IFNKIFIED LN THE PUALIC HEALTH <br /> ST3RYICEI�''I'r[ROl�ihi$NTAt T•iRAT TTi�iik'Igh]t��4!HU1}'L111c,'Y rSt7�'T+UiLC}[NAN�CODS OP SAN <br /> JOAWN COUNT-f. MID FRF'3 AND SrRVIIII {TURO€ AbSOLUTI+JN3, STNT14 WATHR CODS, <br /> C OYMOMSMT CODE AND TNR RVlt) Ni!TI C( )II. <br /> i, A stA74nwiTM rip'T w (til) PRL76USE ADDRX93W FER REQUEST. <br /> 2. IrU©uC FTTl:4tklltxlaly4 REVIEw ARB XT ANT MW. AkPoLTs mgm ARE N <br /> ARRAN3W 113 f CAT-J TNCI Cbw} 611.41+in. CIMCE 110tMS FOR APF0INTM9Nn An S M DULM � <br /> MONDAY 7NRU FRiTJAY VX(VAIINU HoLtDAYS, 6:00 A.U.TO 12:OD NOON AND 1:94 P,M. To 4i3o <br /> P M. <br /> 3. A FlfjLIU(:.RECORIDS RELEASE AFPLICAT70N AND A NPH-AMMDABLE DMaos1♦OF$7a-no,,. <br /> IS Nl+QUOLED. X► MST'I5 WILL BB PSIVLVBD 10 M AFFUCA.l IF 773E tai-QS.Iifttx)RDS ARE <br /> NOT AVAILABLE WnMN THE CUST'OUY OF THE EHO, f <br /> d. TIIB A20YE IDENI7PW DI1POMT I.9 AM'rJI7i[j -D)WAHUS 'LUB TOTAL HL2 RRvllW "M <br /> C""aE, THE BALANCE,0P 711E CHARt rN AAA L$Ufi AN[i rAYADLL jrjU 'PD REYIHWIN0 um <br /> 1DOGV2• MT(S). <br /> 51 P'JTIUC FTtP-%MFC0RDS Ntll'Wl'(JRNW lrf THE SAM COl+I) MON AS RECEVIRD WILLER <br /> wRREcrnn nor THE 1W s A-FF AT THE EXPENSE OF TH6 ANUC.ISI+T. T"19 rll)t)T C?NAL. <br /> : ERVI(T WILL HE HILLMD TO THE APPIICANC FOIL PAYMENT. <br /> 6. cKjaiNAL 1VBL1C FtLS3M=OI(.D$MLUL',dOT 813 smami TRo:.wIl E EHi)PKI:A3IS83. <br /> 5I©NATUP-9 OF APPLICANT -fix L' � � � DATE <br /> 'SIGNATURE OP P ELEA51MG OFFICIAL _= DAT19 <br /> M 00 14 (REV 17'72) <br />