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4 SAN JOA,QUIN COUNTY <br /> PUBLIC HEALTH SERVICis <br /> - / � <br /> ENVIRONIVitN',['AL IIEALT'H l7pYLSIUN <br /> PUBLIC RECORDS REL4ASE APPLYCA TIONe <br /> APPIICAN � f <br /> ADD'fi I q ,ti PHONE NO v <br /> -6 sr-vj � <br /> AGENCY AMS <br /> ADDRESS PHONE NO � <br /> 21400 <br /> � <br /> _ w d� /7 <br /> - b <br /> j' LJLK <br /> 3 <br /> +�^ T w ! <br /> S � <br /> THIS NOTIC I3 SUI3fECT TO THERI`iQUIfU MrINTS ID13N71FJW IN THIS PXJ Uc H$.�t,'FI s9 <br /> SM- VICWE VIRONMENTAL HEALTH DIVISION(gHD)POLICY#92-007,ORDINANCE CODE OP S�[N <br /> JOAQUIN COUNTY, EHp FEES AND SBRVICIs CHARQg RAS <br /> GOVMZNMEI T CODE AND 71413 $YIDSNCE CODB, OLUTIONS+ $tAj.B WAT13R CODh, <br /> I. A MIXIMUM OF TEN (10) PRI3MISH ADDRESSES pBR R13QUW.' <br /> • ' 2. PUI3uC n. L.& RI3CORDS REVIEW ARE $Y <br /> APPOINTMS g E <br /> ARRANGED D hY CALI.1Y (2 LUDINa H OFF'CB HOURS FOR APPOINTMENTS ARE SCHEDULEa) `[ <br /> MONDAY 7 Fi U FRIDAY BxCLUDINC HOLIDAYS, 8:00 A.M. To 12:00 NOON AND 4:W 1?,M. �'0 4:30 ` f <br /> P.M. <br /> 3• A PU UC-RECORDS RELEASE APPLiCA'noN <br /> �� -I�g@ �'�AI�&78:AA•-'fix . <br /> 9RI)ls- . <br /> '> 4• 13h��D-bEP'93f•'I"-I�AI�IIIW�+d�DS�if-T+9�'-A�--TrfL�-it$'VI � <br /> 1: I} <br /> 5. I'VI3 PILESlRECORDS NOT RUMP-NI30 IN'tH&SAME CONDI'I7ON AS REC$IVHD WILT.Bg <br /> CORRECTED Y THS MID STAPF AT T119 EXPENSE OF <br /> THY <br /> 3 APPUCANI', <br /> i SERVICE WIL 1313 BILLED TO T1419 APPIACANTHIS ADUI7I0NAL <br /> TF�OR PAYM!✓NT. ' <br /> a 6, OIZIGIOALT"UC FILES/RECORDS SHALL NOT B& RLINOY$D FROM THS CHL)PREfvIISES'� <br /> .. 1 <br /> SIGNATURE OP APPLICANT <br /> } <br /> ' SIGNA•I RE OF RELVASINO OFNCIAL <br /> 1;lI U i (RT:V 12/42) DATE <br /> TOTAL P.02 ' <br />