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lS AN JO A QUIN C'C twrY ( ~ 1 <br /> [ PUBLIC HEALTH STAVICE-9 1. <br /> FNvmONMmNTAL ItI'm.'Lu DivistUN <br /> PUBLIC AA.C:ORDS RELEASE APPLICA7"ON ��; r r"" � „•T <br /> AlE'1'llr ANT G�i'i <br /> VNA <br /> PK ''�'�-''.•1. r' nr <br /> ADDM5 a _ <br /> AGENCY NA.NfE PFiONB NO <br /> ADDRESS_34-317 4� <br /> Aa <br /> -/ -- <br /> A; - <br /> THIS NOTICE IS 5U9MCI' TO T1111 TMQUIRINSINTq RIP-NI1PIED LN THF PUBL]C HEALTH <br /> SERV ICISSIEN'IIRONh LM'RAT T1T T)1VT1R111N (LHL))I'1?1.1�'.Y OV74)M,ORDtNKNCE CODb OF SA14 <br /> J9AQUIN COUNTY, TTFR AN-T) CrR Vl(:y (.'HAR13B F�Fi4�?Li iT1�JN5, 9TATH aAFBFt CODE, <br /> QOVERNMENT THIS Rv1T)W(�T� 1;111)L. <br /> I, I C)P ivN (U)) PRENUSE ADDRESSE9 PER RHQUEST. <br /> 2. C FTIJIfiIRI!cxtul1a REVIEW .ARB BY ApFQIIr"1 aS Q=- 4.P?OI2ZI�iI TS AP.E <br /> ARRAN D BY CALI,TNn l-ljN)46RAl'140. OFFICE HOURS FOR APPOINTMENTS ARE RC I)ILTLBD <br /> MONDAY THRtJ FRIDAY PXf V.lLllNCi 1117L1DAYS, 9,00 A.M.TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A P BUC AFI_•OROS RFLBASE APPLICATION AND A NDN--Ar.� UEJ3-06n OF$78.no <br /> Is: KP()ULRFl►. Pf`POSM WILL BE RETURNED 10 TIm APPLICAN' IP THE PILTFfRPCORDS A" <br /> NOT AVML.ABLE VOMN' THE CUSTODY OF THB EI-ID. <br /> 4. TITS ABOVE IDENTIFI`RD DEPOSIT 15 Arrl.mT) TUWAKL)9 THE TOTAL FILE REVIEW FHA <br /> CHASlC3$. T)JE B,'1LANCE OF 714E CTIARCPS AR R DUE AND PAYABLE Lzm TO nVIEMNO THE <br /> bCCUt•S$NT(S). <br /> S. PUBLIC PIT-F-SIRRCORi7S NUI'R-671_IRNED IN THE SAME CONDMON AS RBQEIYIiD WILL BE <br /> CORRI;CTPT) BY 114E J?l4.0 STAFF AT THE EXPENSE OF THE APPUCAN''T. n-n. 8 ADT)MONAL � <br /> 4 <br /> SFR%'li'n WlI.L NB BILLED TO THE APPLICANT I'OR PAYMENT. <br /> r;. (31RJOINAL,PUBLIC FII.S.4,7LECORDS SHALL N0 i Ba REMOvF.T) FzRf IM '114S BHD PR 'F WSES. <br /> 51�3NATURfi 01' APPLICANT .•---- DATE G�s 702 <br /> SIGNATURE OF RELEASTNO oFFIclAL —_ DATE <br /> M 00 14 (REV 12rg2) <br /> r <br /> ��J <br />