Laserfiche WebLink
a� <br /> DDDDNED <br /> OCT 12 Zola } <br /> ENVIRONH <br /> T <br /> PERM 1SERVICES <br /> San Joaquin County <br /> Environmental Health Department <br /> 600 E. Main Street <br /> Stockton, CA 95202 <br /> Subject: CERTIFIED LIST OF RECORD FEE TITLE OWNERS FOR: <br /> SITE NAME: <br /> ADDRESS: /3 14p ,- Z <br /> Complete #1 if there are multiple site landowners. <br /> Complete#2 if you are the sole site landowner. <br /> 1. In accordance with Section 25297.15(a) of Chapter 6.7 of the Health & Safety Code: <br /> Name of Primary or Active Responsible Pa <br /> certify that the following is a <br /> complete list of current record fee title owners and their mailing addresses for the <br /> above site: <br /> Gr-4 ' n z 7r o�� c mm�a� po/ ZX. <br /> 6f-417f/ �� y <br /> 5�l <br /> s 5- �Z!7''r6 � ,L hC: � 3Z�/ �• /�L'�lrrr�,�r. �f-✓11x 4 U!/,) r Gr' �' �'oZZ/.L <br /> 119�lh ; ern7 <br /> 2. In accordance with Section 25297.15(a)of Charter 6.7 of the Health &Safety Code: <br /> Name of Responsible Party: <br /> I, certify I am the sole landowner for the <br /> above site. <br /> Sincerely, <br /> Signature Date <br /> Revised 12/15/09 <br />