Laserfiche WebLink
SANJ0AQUMNCQUN-ry b 0 13 8" <br /> FUBLIC :E�Tfl SERVICES 47711000 . <br /> Nj�,,fFN-TAL H:F�-IR DIVISION, <br /> ENNIR0 41 <br /> K <br /> PUBLIC R-ECORDS F-ELF-A-SE AFFLICAMN <br /> HONE NO <br /> APPUCA24T <br /> ADDRESS <br /> k <br /> p -l-a LIN, <br /> AGENCY NANCE ylpHolm NO <br /> ADDRESS_ lq7)1-t)C LAM) <br /> DATE <br /> /(OIL 5--5-D2C"A L <br /> L3�13 <br /> 3 3(2 E- hk6ellgm <br /> ,aDui Ag ve <br /> o <br /> 1401 W, <br /> TF.)s I:GTICE IS SUR)ECT -jo T)-iH Ry-QvIFLEMENTS IDENTIFIED IN T'iF- PVIrUC HEALTH <br /> S ER%ri C E.SlEls'V rr'\ON),I ENTAL 1:E,LJ-TH DIV-]51O (EH D)PCLJ C Y#97-007, ORDJN'jkN CE COD h OF SAN <br /> -flQNS, STATE WAIER CODE, <br /> 10AW111-i CO'L�F 'Ty' F-13D FEES AND SER1]CE CHARGE ?�Esol-lj <br /> GOVELMMENT CODE AND TrE EV-)DENCF- CODE. <br /> MA-)3-`,n)M OF TEN (i0) FF-EAflSr- ADDRESSES FER REQUY-ST- <br /> U By LEpnj, -MP4TS ARE <br /> 2. PUPFLIC FILF-SfRECOF.DS RE�9E%N' kR- APPOEN1 <br /> ARY-AN-GED BY CALLING OFF-ICE HOL7RS FOR APPOWPMENTS ARF- SCHEDULED <br /> MCNDAY TABU FRIDAY FXCLUDIING HCLJDA-k S, 8:00 A.M. TO 32,00 NOON A-'\D i:C'D P.M- TO 4'30 <br /> P.M_ <br /> 3. A PUl-:l-IC RECORD RZ LEA S F-.kPP3-J C-'k'n0NkX D A NQL(EFUNDABLE DEPOSIT OF 578.00 <br /> J5 M(-iU-IRED. DEPOSITS FILL BE RETUNED TO TpE .a,PF!JCA,NT IF THE Fll-r-Sr: COR-DS ARE <br /> Ti;-- CUSTODY OF TPF-M-ID- <br /> 4. Tj-4E ABOVE JDF->r° )FIED ]DrPC)SI7' IS Al-PLIED TOWARDS THE TOTAJ-. FILE RE91iw FEE <br /> OF VE CHARGES ;RE DUE.A-N-D PAYABLE E&LOP, TO R.EN9FvlNG TEE <br /> DOCUNIENT(5)- <br /> 5, PUBLIC MrSiRECOSDS NOT R=1PNED IN THE S,A-ME COND17ON AS RECEIVED WILL BE <br /> H MON.ki- <br /> CORAEC-I-ED BY 714E Hr) STAFF AT TlIF- )D�PT-NSF- OF -ME: APPLJCkNT' T JS ADD <br /> SEIRYICH WILL Bl: 13ILL.T--D TO TIM A-PPLICAXT FOR PAaiENT. ' <br /> 6. ORiGJNAi PU)3LIC FILF-SlRrC0TZDS SHA-LNOT BE REMOVED FROM TEE MID PXENUSEs- <br /> S;IGNATO-R-E=OF P�LICANT DA-1�E <br /> IGNATLMLE OF APPLICANT A-A <br /> SIGNATURE OF RELEASING OYFICJAL DATE <br /> EX 00 14 (REV 12192) <br />