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_ Oct-14-2003 W 03am. From-KINKO'S_SAN LEANDRO + 97Q P.002/002 F�400 ` <br /> SAN JOAQUIIti COUNW „ <br /> ' <br /> ENVIRONMENTAL RMTH DEPARTNI"T <br /> 0 C T 14 2013 304 E Wdbar AOc 3`° Simon,CA 95265 <br /> { 7 nE X468-3420 Fad(209)+464.0133 Web:WWW.ca.sak-Joaquin.c&Wand <br /> EJ ' PLIC RECORDS RF.EEME APPLICATION <br /> pwmr: G5—/,-) Z [ 8 S 4/ F i <br /> i TENTATIJ'APpol"EW DAM <br /> I <br /> (Plepwu <br /> FK ",�Q b"kM"ttaq�*UM awo optica" subs . <br /> B=TO t- �tTI;I •spa. m LFI WAINM DAY& <br /> SiGNAT�.IRE OF APPMANT � � . . RATE dX d <br /> D&OWW in Ule Ooh <br /> ME APOriy8T. tit+ltt � <br /> ,a S o c Un t 1 r} <br /> -,- <br /> ant 1.4 low .ate o S';o e� o,v �x <br /> 4. <br /> t <br /> Lkd4 i <br /> EWRONMEurAL W-A_TN pePARTMEPiT FKJW <br /> jmuf SrM ) 0 tWlMM AeA7LLENT 17 GOt I)WASTE F <br /> ��TA�rnc tt>' (LAr' <br /> �S�� �pp� C] FOOD FACILITY Cl SOE.Ih Mf1�57E <br /> OTHER 0 �TALK pkoPUtCRNtLIlRl:MOArAt) a KENNEL C7 pm T <br /> CI KA7jyRA0u8 WAS GEt ttAT4R Ips CH CKFN RANCH L1 t'KQ'fNEATl Zf�PLANT <br /> 03 TwRgo PMUlT rED Fl1CILRY Cl 17"PLiMt+M Tlt xxrYAPjWC"M ToiI= <br /> D TA'1'1000ORlf FIW.W Nts C PDOUSPA o,lJaT�IISElrRi+tiCATIWtSITES <br /> Q l ear—&WASM FACILITY q. Olt[kR tPt F-ItiSE SI IFFY) <br /> i. i list up to tett addreaxes in the spaces above. SalmOt tlw type(S)of files ftm the W WMY*by Ch*ddM <br /> l the apptagriate bagea)_ At)east one Filo rpo Ytfsr be selected• <br /> FM t*(MI MM34 2E MLII 19 am <br /> d�dtyss irKlira#e�ab4 rttTnent for tsview Wol tie cpnAM*d <br /> 2. F.HD wtg notify the*9pUGant if arty EM fans wast. Art a�pO ai after s+o0 ipt of wiUmboR- TW fw <br /> appro�dma WlY five business days but no labor"M n ton( )dogs <br /> will be held Tor a tnaxitnuM Of fire b 2&0r ss days for nMe.W. Appognttllstt>!s stwutd be schottule d <br /> i aCCotdirLgl <br /> 3. ; A fete tMtt 3s actively being worked on by EHD stall play not be ImaledlaUly available for ren)leM/.'A 09W <br /> apprcation meyl be submitted when the fue is available. nimd Ali HI1 elf f at�Le ed�rtsa <br /> Q Any file not nztumgd in the x2rae candltion Lis rel a Win tea�$ <br /> of the appiicrft pulure Me reviews by the am*apph=nt my require a MUD deposit prior to review <br /> 5- 'TVUATM app9i0bnwA dot=Mtmt ba carrnrtnad with EHU step, k <br /> o, Applications seceived Biter 3.na pm will be processed the next bustne"day. <br /> c0MM�MED'APt0WM�DATE T -- <br /> ' PHONE, FAX' <br /> DATg CONF1RN1FM <br /> RRViM YES NO REVIEW DATE <br /> ways, <br />