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SAN IfIAOUIN ('01IN'TY <br /> 141111 ,1C1114',A1,111 SERVICUS <br /> I+,NViR(1Nn1F,NTAi, I1F.ALT11 DIVISION <br /> PUBLW 101',( '0RDS RELEASE APPLICATION <br /> APPUCAN'r I�► f-4,c{l4-1 �f . PHONE NO Z07 -L/4,3--)/0 <br /> A Di)RESS_ y <br /> AGENCY NAM 13 PHONE NO - <br /> A IDRESS �_--- — - <br /> I:ILE ADDRESS LEAD AGGN�,-Y pATB <br /> C,► r I'tS <br /> Rom-- - <br /> V q - <br /> ��\ .T7L&e4 5tvwua 36-9-Z5 Cl,44Yk.a.¢ _ <br /> Q or+ ,�,<s �f1 car 1r� I SD IJ Ari- AT-4 RJ _ <br /> G hi <br /> }�,;�•� �pMuS !PtlC,tll�C' �JSD � � Irl vAle-QI Z 4� ''� - <br /> f�D Ari- 3133 Ag) Ar 4- <br /> 3, , <br /> 'I Its NOTICE IS SUBJECT TO '1111; ItUOUIREMFN i'S IDENTIFIED iN THE' PUBLIC HEALTH <br /> et.RViCBWRNVIR(.)NM6NTAL ti iAl;i'li DIVISION (Fill)) POLICY#92-007,ORDINANCBCODS OP SAN <br /> 1OAQUiN COUNTY, EHD FFFS ANi) SERVICE, CHARGE RESOLUTIONS, STATE 'WATER CODE. <br /> GOVERNMEN'r CODE AND THE FViD1iNCF CODE: <br /> I. A ,.1r+XIMUM OFTEN (10) PRi;NIISt- ADDRESSES PER REQUEST. <br /> 2. PUBLIC Fii.ES/RECORDS RI:VII;W ARi: BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALUNO (20906R-01,10. M-FICE HOURS FOR APPOINTMENTS ARE SCHEDULED <br /> NIONDAY TIIRU FRIDAY EXCLUDING HOLIDAYS, 3:00 A.M. TO 12:00 NOON AND 1:00 P.M.TO 4:30 <br /> P.M. <br /> ►. A PUBLIC RECORDS RF11',ASF APPI.ICA'i1ON AN1)A NON-REFUNDABLE DEPOSIT OF$78.00 <br /> IS REQUIRED. rnTOSiTS WILL 1117 RF-T IRNFi) To -1.111; APPLICANT IF THE FILES/RECORDS ARE <br /> wrr AVAILABLE WITHiNTHE ('IISTOI)Y ir{ 'lril Fill). <br /> 4. THE ABOVE IDENTIFIED 1)1?POSIT' IS APPLiFI) TOWARDS THE TOTAL FILE REVIEW PER <br /> ('11AROP. THE BALANCE OF 1111", CIIAIMFS ARE DUi; AND PAYABLE PRIOR TO REVIEWING THE <br /> DOCUMBNT(S). <br /> S. PUBLIC FiLES/RECORDS NOT It FTI IRNFD IN 111E SAME CONDITION AS RECEIVED WILL BB <br /> CORRECTED BY 'THE3'MI) STAFF A'r illi? FXPENSF OF THB APPLICANT."' THIS ADDITIONAL <br /> SERVICE WILL BE BILLED TO 1111;,APPLIC'AN•r FOR PAYMENT. <br /> h. ORIGINAL PUBLIC FiLES/RF .c)Rus stint REi REMOVED FROM THE E HD PREMISES._ <br /> T <br /> SIGNATURE OF APPLICANT � DAT9 <br /> ;NAIR)Ri' of Rr1.FASING OFFI('IAI. _ DATE <br /> 1711 O0 14 (R FV 12/Q2) <br /> 74 <br /> h <br />