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APR-26-2005 08:42 FROM:SECOR 'JRITY SITE 5592333241 TO,�,2138 P.002/Oe2 <br /> 10/14/213134 XEr;05 2094603433 FIFTH FLOOR PAGE i;4 <br /> •. tt?iII LOrr ROAM <br /> DATE RaMM SAX.YvAQUW C0U1qTI FIECOWED MvMommqTAL MrAL=DEPARnMT <br /> ' <br /> N E304 L Webcr lave 3M Moor Str dao%CA 95205 <br /> A P R � � 7.0 G 5(Z09)46"420 Fax: (209)4 138 Web:www.ca sajoaquin.murJchd <br /> ENVIRONMENT HEALTH rUSLIC RTCORRDS F=A SE ANUCA.'X ON <br /> P <br /> IrPPL�I,ItT: �tlslii�SSl1�GEHdY:, �.�' EC.�� - <br /> •ADai:� 5 <br /> C <br /> -2-71 — <br /> TENTALTrJe App101H1'1iti:NT PATE: mpm 14au <br /> lg kilow to b"h w rr+M date QTq*q4*6a'n 40R"" <br /> TO E3[Pdi1 r4 REQU .Ao fR p >b tN a 1ws DAYS <br /> CWCK 009 E• <br /> SIGNATURE OF APPLICANT - CATE; <br /> peps Use Orth <br /> x#1.6 gDPFitES9EN <br /> D#V- Ck "35 a tL p nitld99 <br /> wok'- 'foD � ., <br /> �5a,am �,u�1 G n � � 1� <br /> T fl` urat a <br /> act U yT C). <br /> it4z. 1L. UA4 <br /> Cdr Ugh it dZ t Le LL Id <br /> r b 4A wo <br /> ur+1t 5 <br /> aaS� <br /> MWIRCNMOUAL HEALT14 pl~pAWMFW FRIL1:S <br /> Ctl.OWUp a%"M A 140u IZ ABAWAW G SOL wAS7 w:;FAPII•r1'f' <br /> Ut1i3�GWJM TAW VS:0 G FWD FAC'1L ffY A 1nrA*�16 YEi;iGL1; <br /> Q v11ttR CtEA1Np sr9 MMU" II l 1Cp1llti"J. U PAIRY <br /> K Ugb61twtwM TMK.it�rorlrnoi w ia�var .i Q CKWKEN ltaRW a a T ► rr ruw s' <br /> C3 wA'S aE�� N� Pt1MPR trttrrrvita socl.Et~r <br /> T33 'YMFL P�uspA Iia 1 Ad'P1.rc+�T"N*"'F <br /> n MftWA.wi=F'AG1 i1Y oiHl13�( sP'SgFY! <br /> 4. Sele <br /> 119 <br /> ess*$in the spam aboxe. ct the,ty¢e{s)of tiles from the fist aha�re DIY eheeiti <br /> List up to ton addre <br /> the a,pproprial a box(ex). At least one f l'a h►pg MUST be swoiceted- <br /> t,o d 38 1 o e <br /> addre s Indica a lertrnr3rrt tqC[reVtow inr111 be coMirrlsled <br /> 2. AHD W1p nifti#jl the applicant if niv EHD tiles SOL An apps at 6ca�ucim The fifes <br /> appro�rnat*lyfirm btm1nes o�ilvcbbu�st later <br /> rt1t 1 Mm for review. Apppe tm n%hould be s'tMauled• <br /> will be held for at maximum <br /> ar. etiliirglY. <br /> note.be imrnediatsiy avaiiabie far review. Ane" <br /> ly <br /> 3. A Elie that is acetw�ebeing worked on by EHG staff may <br /> Application My be submi ted when fire fli e h smtigabta. END s#aff at the.cxPe^s' <br /> . 4. �Me not mtunttwd In tires same co�Mltto a as rt:lea>x li will be reorganized by r to kvlei <br /> of the applieanL Fretttre'tile revl by th same applicant a s alf. o+��r9�,00 deposit pilo <br /> 5, gMHTATl�.appointM6nt darts most be confirmed with t:Ho staff. <br /> Yed�r 5.00 pm will be proossssd the�business day <br /> s. Apprcatsons reset - <br /> ,�., .,mar �,, x • ;' •; <br /> •�c• �c�. .. nom:. •�..�t�lE .�.t ,�:. <br /> L_. .`l:y . .'+•' '..ice*^',� .� y, . '� '+°P.t�C.F'fir- IVi~i#_-r'^':.. FAX. F. <br /> •;.,' ••A•'� y .. iy �„�,.L� <br /> Co <br /> WCL .f•'•f.�:�s -al.::� •a.. •..t. <br /> REVIEW 0A'iE. 4, •�• ::_ �.� <br />