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SAN I OAQUM'4 COUNTY <br /> Ev <br /> PUBLIC FMALTH SERVICES/)o Pl--Q&-b- F-N-y'lRQN-Al0EN-Tkl- <br /> BZALTH DIVISION, <br /> FUBLIC RECORDS RF-LF-A.SE APPLICAMN <br /> 1 <br /> PHO34M NO '�'S- "q) J� <br /> APPUCANT U <br /> I <br /> ADDRESS <br /> AGENCY NAMME PHONE NO <br /> Lf—LE ADORF-SS LAf-_-EN-QY D. <br /> /OIL S. S=k-"A g-t <br /> /bay- S, <br /> 3-5-� --7 <br /> 33C- <br /> LJ <br /> 0 <br /> Q <br /> lLic)l <br /> T}-JS NOTICE IS SUBJECT TO THE REQ1:1RIMENTS IDENTIFIED IN, THE PUBLIC HEALTH <br /> sE:R%r,CESIEI;%'-RONI,IF-rQT.A-L)-'F,,,�j-T)iDlN,1510,N (EML))PCLJCYn,92-w7. oR,D1,NANCECODF-OFSAiN <br /> SS A�ND SF : WATER CODE, <br /> 1OAQUIN cou-NTY, EM) FE ' SF_ CHARGE RESOLUTIONS, STATE <br /> GOVE:R,N.%'.ENT CODS; AND Trn EVIDZNC)-; CODE. <br /> I. A 1,W&MUM OF TEN (io) ppr.v.US= ADDRESSES PER REQUEST. <br /> -E B <br /> y AppojNJ�j -r ONLY. ApPOINTMENTS ARE <br /> 2. PUFUC FILES/RECC-RDS RE�9F-W A;� E_N <br /> ARR.kNGED BY CALUNG G'0:)458-0340- OF-TICE HOURS FOR A?po).w4P.1 F-NITS ARE SCHEDUI-ED <br /> MONDAY TXRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A-M. TO 12.,00 NO0,'14 A-sD P.]%f. TO 4'30 <br /> 3. A PUBLIC RECORDS RELEASE APPLICAT10i%,, ,kNDA ICON-REFQNQABL DEPOSIT OF S78.00 <br /> f5 REQV�iEI3. Dr:POSITS 'Mi Ll,BE KFWANED TO THE APPLICANT IF T14H FILESrKKORDS ARE <br /> NoT AyAjL-kZ-Ll:- 'kNqTl-0N TIsR CUSTODY OF THE F-HD. <br /> 4, THE A.BOVE IDFNMF]Et) I)FPOSI*r IS APPLIED TOWARDS THE TaTAj- FILE REVIEW )FFE <br /> CHARGli. THE BAj 33 -J� 'G TH <br /> _-�j%IcE OF VE CHARGES ARE DUE PAYABLE E&LO TO REN71F,'MN E <br /> 5, PUBLIC FILF-S/RECORDS NOT RETUTMM IN THE SA. JE CONDITION AS RECEIVED WILT:..$E <br /> CORRECTED BY THE END STAFF AT T14E EXPENSE OF TBE A-PpLjCANT. TIJIS ADDMONj'j- <br /> SERVICE WILL Bt 131=D TO T1313 APPLICANT FOR PAYMENT- - FROM THE EHD PRE)%USES. <br /> 6. ORIGINAL PUBLIC FjLES/j;LrcoRDs sHALL NOT BE RENjovr=D FR <br /> z <br /> SIGNATURE OF A=PUCANT DATE <br /> SIGNATURE OF RELEASING OFnCJAL DATE <br /> EH 00 14 (R.F-V 12192) <br />