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fv 0 199 ". C�0 ftAAN JOAQUIN COUNTYLIC HEALTH SERVICEq <br /> ENVIRONMENTAL H$AIIIU DIVISION <br /> PTTRLIC RECORDS RELEASE APMICA'I'XON <br /> AFMCANTA1iVr��l /aN i c�n� FRON a N06110 371 —O 3 4 <br /> ADDM3 ' SGS!l <br /> AGENCY NANM FHQNB NO <br /> ADDRESS <br /> i3ECrCljc,hc.vPM' �ECI4�� Ir'' S� ..1,2aC`l �� 3'> r�� Z <br /> f rZ NowN P(?oP672T1 rS, W06 W• r3EEGNA)vl AULAJL).E /Z4�`1,4q.5q cl <br /> to C l*rq Or-M,4&-4 P/luf'E2TYi 1 ..1.1 r"s:. '� �� 9 3°� s rrE <br /> CA2t_ NAUa1'Lv , 12�! E, //�'�'S'�: T/l�C�/ <br /> " .L��j PA-24 Cc keyrzo^3>j Sv o N, 5EOV01,4/ "T • G'o `d 90$7 <br /> 4C, G2vvP, yov S. �AC6 606 T &Y , q _1057 <br /> gCo. �� 757 !•�/. /1�►�� TRAc`! .3��G 19 2 <br /> CI 343 �r,��3c-or�vv✓zi �?' �� oyS/3 t �1,c,.e,L,,Y Z <br /> r Ci.�7T LLST- <br /> f N OIL <br /> TMS NOTICE IS SUBMCT TO TIM TtT?Q(IlRI1M1IN'.T9 117.EN-11FIED 1N THE PUBLIC HEALTH <br /> SERVICES(ENIIIRON1<113NTALURAT.771 TAVIS11IN (W40)AILIVY 0924X",ORDINANCE CODE of SAN <br /> JOAQUIN COUN'T'Y, VHD FRF-11 ANT) Sett VIt,I3 (:NARGE RESOLL ITIONS, STATE WATER CODE, <br /> QOVMU4MENI'CODE AND THE RVTT)P.Nt!fl c,x.w1I. RF Y <br /> I. A SlAXTtvttt#T-iIF TEN 113) >••IWNUSE ADDRESSES PER F.HQUHST. CEIVNT <br /> ( .TUN �pEwD <br /> 2. PUBLIC Fir.PS/Ttl�c t1k1�9 REVIEW ARE BY APP_91E0�iBNl-QMAftgL7rt, <br /> ARRANGED BY CALLING -LTy).4h144n4Q. OFFICE HOURS FOR APPOINTMMONDAY THRU FRIDAY F.Kc.:L11LIINO IttK DAYS, 8:00 A.NI.TO 12:00 NOdjl P.M. <br /> 3. A I'IJL+LIC'ITEt_'ORDS AEIBASE APPLICATION AND A XQ6-APF3ajD A I)Vtoert OF$78.00,,. <br /> I� It1c)UtK9D. DEPOSM WILL BE RETIMNED TO nM APPLICAN�IP THE IT ,.SrnEcoRDS ARH <br /> NOT AVAILABLE WITHIN THE CUSTODY OF THE EHD. <br /> 4. TIJS Al OVH IDENTIFTED DEPOSIT IS APT'FlrT l) TOWAR11e '1HE V'I'AL FILE REVIEW FHB <br /> CHARGE, THE BALANCE OF 1142 CHAROM ARf3 ULIE AND PAYABLE y$1¢$TO REVIEWING UM <br /> boc��rt$NT(s). <br /> PUBLIC Fit:N-S/Rpc('jnDs NUI,FtEv.1RNED 1N THE SAME CONDMON AS RBCEIV$D FIILLBB <br /> CORRI;CTF.T) TlY 'I'NB 1+.N11 STAFF AT THB EXPENSE OF THE APPLICANT. THIS ADDMONAL <br /> 8FRVr(i;11 WILL BE BILLED TO THE APPLICANT ITOR PAYItiIHNT. <br /> r;. ORIGINAL PUBLIC FIL.H.4/R.BCOnS SHALL"NII'Hg IZEMOVF1)FRt:rM"'1413 Et'D PRIII�I3B9. <br /> SIGNATURE OF APPLICANT _ DATE S131. _ <br /> SIGNATURE OF RELSASTNO t; FICIAL DATE <br /> 13H 00 14 (RV 12192) <br /> I r r <br />