Laserfiche WebLink
06/13/2006 14:58 FAX _ Z001/001 <br /> NNW <br /> oAT=RECEIVE47 :�i'`4 JOAQUIN COUNTY <br /> ��IIll�/ I��� ��YIRONNt�i�T.�'1L1�.EAL'T�i���':'►�tTNI:�:�iT <br /> j <br /> 304 F_WebCr kvc a`� F]00£StOC1Ci0f1,C �352�JS <br /> (209) 469-3420 Fa.x: (209) 464-013$ Web:ww�v.co.san aaquzi}ca us/e e <br /> jua 11 3 2006 <br /> �— <br /> PiJBx,IC RECORDS PEi LEASE APPLICATION <br /> - � "� <br /> `!c C t _ BUSINESSIAGENCY: <br /> ERMIT/SlA1 <br /> APPLICANT, Sc <br /> AADRESS: aff Lr ivl 4�L.. 1,,.-'Ec- <br /> C <br /> p}LONE: <br /> •Z <br /> TENTATIVE'AppoiN 1 MENT DATE, Time; <br /> (Flake allow 10 busine=days from date of application submttiaE} <br /> S BUSINESS DAYS <br /> CHECK FaOX TO EXpEogF REQUEST�302-0 FEE•-�tEQUF-ST PKOCESS>=0 t!I <br /> SIGNATURE OF APPLICANT oevartrnentUsr Onty <br /> UNIT <br /> FILE AQOkESS <br /> t)FF(z G C Unit 1 <br /> v4s Y 3 Sa <br /> 2. CMN Z. 7 1 G ,� ! 011 Unit 2 ' <br /> �' a'r'..� � r .rr Unit 3 <br /> 5. Strrel ��i A <br /> aN �--`fir <br /> D G �• <br /> Ifni:4 <br /> 7, s:rca, <br /> ...s seat+ ?'1z Nlrti -lir - G lC r <br /> UY1i.t 5 <br /> G ' <br /> a, sveec -_a <br /> 10. <br /> Z.IW� Mlti�1��7�i IZ.� GM <br /> ENVIRONMENTAL HEALTH DEPARTMENT FILES <br /> UP SITE(LOP) 0 HOUSING ABATEMENT E3 SOLID W'0'S—,yEWC7FACILFY <br /> id• UHOERciROUND TANK(UST)CLEAN t3 FOOD FACILrrY La DAIRYvlksTE VEti Cid <br /> Vi OTHER CL>=;� OF SITE(NON LOP) DOG KENNEL S-DAIRY <br /> � UNDERGROUND TANK(MONITORINGiREMOVA1.1 G DOG EN RANL'ti a-PKG TREATME?�T PLMT <br /> ZHAZAftROt1.?WASTE GENERATOR [3MOTE;lIIOTcI FUMPEFiTRUCtV'fr�RDlCIlt:M TQILi:1S <br /> Q TIERED P£RMn7EO FAGILrrY ❑ pOOLISPA I�Z LAND USE APPt.1C4TtdN Sri?S <br /> Ez TATTOC41300Y PIERCING i^-, OTHER(PLEASE SPECIE'()__�. <br /> ra MEDIC:.LWASTE FACILETY t abaye by Mheckinq <br /> �, <br /> List up to ten addresses in the space above. Select the rfpe(s� of fifeM from the lis <br /> the appropriate hox(t:.). At least one Eile type hIUST be selected. Fs,z to 2.at31 46�-a13S ar rst_ �i�to_tiL <br /> address indicated aibove. 10)dint^Ys lent for review will be onfiMed <br /> 2, l,til]will notify the applicaltt if any EHD file e.,ist An ( da alter receipt of appiiCation. The <br /> a.pproximatety five business days but no later than ten <br /> will he held for a maximum of five business days for review_ p,ppointmenta should be scheduled <br /> accordingly. <br /> g re�staff <br /> not 15e immediately auditable for rcrievl- nc:w <br /> A file that is actively being worked on byapplication may be submitted when the f at the <br /> a, Any file not returned in the Same ws condition <br /> same applicant may require l be a $9100 deposfit p lar to Q view- <br /> of the applicanL Future file revie y <br /> g 01 ENTATNE appointment dates must be confirmed with EHO staff. <br /> g Applications received after 3.00 pm will.be processed the next business day. <br /> F�AT- <br /> I3.'ic RPO- INTMENT p1;ONE FAXS <br /> N i-1t?4i ED. —' <br />