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G-27- 1S:r-.46 1 1 : 19A f-P.p�GE NC 209 95G 0700 <br /> SAN JOAQIAN COUNTY <br /> 11UBLIC 11EALT11 SERVICTiS <br /> ENVIRONMENTAL 111"A'll DIVISION <br /> 11UIILIC RECORDS "LEASE APPLICATION <br /> /e PHONE. NO <br /> ADDRESS I�P-AAAA LAN -— PROKEI NO <br /> AGENCY NAME- PJ}a_L-14 n - <br /> ADDRLSS <br /> �. <br /> LEA i) A!vwMc-y <br /> Ilrr a ADDRE?S5. <br /> � s I V)vj <br /> Strve- t PµS £µ n ? n'rvl <br /> tet,.• <br /> o a_�_�__n,. sail ��eA — P s _�. p 3 5• �;=•>^ <br /> --- a�' ' ✓v�Au _- <br /> m4 G_ F_,`I r -- PNS� F� 3S, d7 Mm <br /> _n111 �• <' � Cf- <br /> ( <br /> 1 Pe <br /> - _5'LS�_{�.,�a�R •�_ —.._ � A X3.5 . a••£r —_---- <br /> 0 345 _ I . ____--- <br /> o {y4`i F IV1nnn. � e L - -- �.. — <br /> 77115 N07SUBJECT7C[i lS SUBJECT TO771E AEel11R f•A1EN'TS Y M92.17bORDINANCE CODE OF SAN <br /> IDEN111•lED IN TIM PUBLIC HEALTI <br /> SERVIMSIENVIRONMENTAL 1'AALTII DIVIS[ON (EIIDI POLICO STATE WATER CODE. <br /> )JON AQUIN COU 1 -Y, Eiji) <br /> lt]IF; EVIDENCE ICE CHARGE RESOLVi1N5. <br /> 1. A MAXIhSUM OP TEN (10}PREMISE ADDRESSES PER REQUEST. <br /> 7. i'1 kB1.IG FILF.SlRF.CORDS REVIEW ARE By APPn1LiPA1L�.-Y' APPOINTMENTS ARE <br /> ARIIANGI MONUAY'#1 By 11 1'R#D^Y EXCLUUiNO.o. OFFICE HOURS r NOUDAYS,9:00 A M.T O 12:00 NOON AND <br /> 100 p.N1 ApPOINTMENT5 ARA J. f0 4 70 <br /> P.M. <br /> 7. A PUBLIC RECORDS.RELEASE APPLICA DON AND A NUN AREI'_{>AIlLE pE,fRr3c 01* A"' <br /> IS REQUIRED. DEPOSI'15 WILL Be RGILRNED 1'O TILE APPLICANT#F Tl#E FILESfRECOlt!)S ARL <br /> NOT AVAILABLE W11111N 111E CUSTODY OF THE IHID. <br /> TOTAL <br /> EVIEW FEE <br /> 4. 111E-ABOVE IDC OF11 k1E CHARGES AKEIDUE AND PAYAIiI..LIED TOWARDS E KP IDR TUIREV REVIEWING 117k <br /> CHARGE. TILE BALAN <br /> DOCUMENT(S). Ile <br /> S. PUBLIC - LES/RC•CORDS NOT Rf It IRNF.D IN'I7IE SAME CONDITION AS RECEIVED WIL-ADDITIONAL AL <br /> CURR.Er' BL RY •11IE fl}#u 5fAFN AT 171E EXPENSE OF 711E APPLICANT. 11#IS ADDITIQNAL <br /> SERVICE WILL BE BILLED TO 111E APPUCANT FOR PAYMENT. <br /> 6. ORIGINAL PUBLIC FILESIRECORDS 511ALL NOT BE REMOVED FROM 11#E EI#U PREMISES. <br /> SIGNATURE OP APPLICANT ti - <br /> SIGt4A'TUIIE OF RIMEASING OFFICIAL -- <br /> �\� LI OO 14(REV 12/92) <br /> 1 �\ <br />