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'cL4 16:�8 I D:GTE FPX:20.c--551-12503 PPIE 2 <br /> U fJl U1 <br /> SAN JOAQUW COUNTY r— / <br /> PUBLIC HP-ALTH SI RS'ICES <br /> F.NVIR( M'"TAL $EALTg DNISION <br /> PUBLIC RECORDS RELEASE APPUCA'TIONAMJ <br /> A RESSPHONE <br /> AGENCY NAS - � <br /> ADDPMS Pxorra NO <br /> EILE ADQMS LEAD CX DWS <br /> O A„ 75 T <br /> �* x.2'7 <br /> �(o /Vim <br /> ' - <br /> Ms NOTTCE Is SUWE Cr To THH MUUU%lENTS IDENTZIED IN 71P "UC HEALTH <br /> 3MkVIVM0NMENT:A.L.$SALTH DIVISION #D)POLICY i'9y-0o7.ORDINANCE CODE OF SAN <br /> IOAQTJIN COUNTY, EHD FBES AND SERVICB CRARGE RJISOLUTIO'NS, STAn WATER CODE. <br /> GOVERNMENT CODE AND TTM EVIDENCE CODE. <br /> 1 A MAXIMUM OF TEN (10)PRENO AbDREssW PPR REQUEST'. <br /> Z. PUBLIC FU-EVRECORDS REVMW ARE BY A�PFOIMMK ONLY. <br /> ARRANGED sY CEILING PD-7)46"340. OFFICE HOURS FOR APP U47MMn-s Ts ARE <br /> ED <br /> MONbAX THRU J pMAY EXCLUDING HOIt�. 140 PLIDAYS, 8:40 A.M. TO 12.-o NOON AND LMPOU q <br /> P. <br /> 3. A MELIC RECORDS RELEASE APVUCATION AND A MON-REFUNDAer n REPO=OF 578.00.,. <br /> IS REQUIRED. DEPOSM WILL BB 1 IM-TRNED TO 7HE APFIICANT IF THB <br /> NOT AVARABLE WITHIN TIM CUMDY OF THE RHD. 1 RECORDS ARE <br /> 4• THE ABOVE IDENTIFIED DEPOSIT Is APPL181) TOWARDS THE 'TOTAL. FILE REVIEW FEE <br /> CHAAGE. TTNB BALANCE OF TEE CHARGES ARE D[IE AND PAYABLE M TO RnrIEWIN(3 jjM <br /> Docum t1'Il(s). <br /> 5. RUBUC FMS&RECORDS NOT RRTTJRNW IN nM SAME CONDTTTON AS RECMVI31)WILL BP <br /> CORRECTtV BY THE EM STAFF AT THB EXPfiNS,R OF THE APPIICANT. <br /> SERVICE TINS ADDTIIONAL <br /> wII.L 138 BILLED To THB APPLICANT.FORPAYMENT. <br /> 6. ORIGINAL M]BUC FII-R"WORD3 SNAIL NOT BE REMOVHD FROM'TH8 EHD Mt,&GSES. <br /> SIONATURH OF AP?IjckN'T BATH lO <br /> SIGNATURE OF RBLZASING OFFICIAL <br /> BH oo 14 (REV 12/m) DATE <br /> Za'd ZssZ:SST of l,Uau rrdSi::Z Z foo -5z-E0 <br />