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low <br /> 5AN JOAOIJI V COUNTY <br /> 1+LIBL.IC nifuLTH SERVICES <br /> VNVI1tONMB.NTA1. IIEALTII DIVISION <br /> 8[; q 4kE IColwS i LEASE All �APPL.ICATION <br /> APPLICANT' _ eL(_7lL'NONB NO� <br /> ADDRESS_f F <br /> AGENCY NAMH C cI <br /> N() ,{�AGDR �`+ I PAI] AGHNCY I3AT� <br /> 35 , a (o - <br /> m f( ems- <br /> --- <br /> o � . g_,_�ue - _ W ,3S• 1f1' f..T. <br /> _ ILPI% fSlree F ( 3�. a <br /> --- <br /> (� 5s —� <br /> � t� � N Gl�ANC W__BC �j 3S • 3v ' <br /> '17IIS NO'17C11 15 SUBJECT 1'O '1716 REQUIRFA{FNTS IDENTIFIED IN 7110 PUBLIC R,EALT7{ <br /> SERVICESl6TJ ViRONAd ENTAL : IFAI.TII DIVISION (F.IH3) POIJCY Y924J07, ORDINANCE CODE OPSAN <br /> JOAQUIN COUNTY, EIID FEES AND SERVICE CHARGE RESOLUTIONS, STATE WATER COD@• <br /> GOVERNMENT CODE AND TIIH EVIDENCII CODE, <br /> 1 . A MAXIMUM OF TEN ( 10) PREMISH ADDRESSES PER REQUEST- . <br /> 2. PUBLIC (Il,ES1RECORDS REVIEW ARB Ry APPOIN'T14FNT. O� <br /> LY, APPOINTMENTS ARE <br /> ARRANGED BY CALLINO (209)463 -0340. OFFICF HOURS FOR APP0tN'17.7EN.1'S ARE SCIALICULED <br /> MONDAY 111111) FRIDAY EXCLUDING HOLIDAYS, 3:110 A.M . TO 12:00 NOON AND I :W P.M. TO 4:30 <br /> PAC <br /> 3_ A PURLIC RECORDS RELEASE APPUCATION AND A jLoIN�NDABLO DLeP051T OF j711.DU <br /> 1S REQUIRED. UEPOSITS WILL RE RLIVRNED TO "IIIE APPLJCAN'T JF THE FILIWIXECORDS ARE <br /> NOT AVAILABLE WIININ 111E CUSTODY OF TUB TiHD- <br /> ¢- TUE ABOVE IDENTIFIED DEPOSIT IS APPIJrD TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE, THE BALANCE OF T1111 CIIARUES ARE DUE AND PAYABLE YHIU T-o REVIEWING Testi <br /> DOCUMENT(S). <br /> 5. PUBI R' PILFSlRI?CORDS NO"1' ILLI'UKNED IN TILE SAME CON0117ON AS RECEIVED WILL BE <br /> CORR7ICIVO BY '1116 MID STAFF AT TIIF EXPENSE OF '1716 APPLICANT- THIS ADDITIONAL <br /> SI ;RVIC6 WILL. B@dlLlaiD TO '1'i1F APPIJCANT POR PAY6p;N'1', <br /> 6. ORIGINAL )l.0 FILF..VRECORDS SHALL NOT BE REMOVED FROM 'I71H raw PREMISFS, <br /> SIGNNIVRIi OP APPIJCAHT _ . _,_. I)ATII <br /> SIGNATURE 01' ROGLASING OrrFICIALT_ DATE <br /> Evil 00 14 (REV_ 12192) <br />