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t F <br /> V SAN ,IOAQUIN COUN'T'Y <br /> I'I, BVIC IIEALTIT SERVICF,US <br /> ENVIRONMI+,V'I'AL IJEAI TII DIVISION <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPI-ICANT f2r Ll(-e- in^�Il�yim,,li�GflK arOf�t� PRONE NO Za - 9 -9'Zo o <br /> ADDRESS P O, ct45-zor- o 2- <br /> AGENCY NAME P1;IONE NO <br /> ADDRESS <br /> FILE ADDRESS LEAD AGENCY DATE <br /> , ?- L, 5- 7.c/ n -¢f4 <br /> 4/oa S. A urota- i3 e., Iive u C LA on <br /> Voo F. nA Sir .r '?M <br /> Z u + UIL <br /> �r �r�.r 5• W I•�SOv. �y LY L!�/•/Seh •�.(f f L��4�� <br /> TIIIS NO'I7CE IS SUtuECr TO 'iiifi RPQUIREMCN7'3 IDPN'IMED IN 111E PUBLIC HEALTII <br /> SFRVICFS/ENVIRONMENTALIIEAL'I3I DIVISION {FIID) POLICY 6/924)07, ORDINANCE CODE OF SAN <br /> JOAQUIN COUNTY, EHD FFES AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE, <br /> GOVERNMFNT CODE AND TNF I;•V1Dr-NC:F, CODE. <br /> I. A MAXIMUM OF TEN (10) PREMISE ADDRESSES PER REQUEST. <br /> 2. PUBLIC FILEVRECORDS RFVIEW ARE BY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED BY CALLING (209)468-0340. OFFICE ):FOURS FOR APPOINTMENTS ARE SCHEDULED <br /> MONDAY THRU FRIDAY EXCLUDING HOLIDAYS, 8:00 A.M. TO 12:00 NOON AND 1:00 P.M. TO 4:30 <br /> P.M. <br /> 3. A PUIIU(' RECORDS RI-I,f:ASr APPLICATION AND A NUN-REFUNDABLE DfiPOSIT OF$78.00 <br /> IS REQUIRED. IhFIIOSITS WII.I. BF. RFFURNEI) T-O T1IE APPI,ICANT IF THE.FINES/RECORDS ARE <br /> No'f AVAILABLE WI'nIIN TILE CUSTODY OF THE EI1D. <br /> 4. TELEr-, ABOVE IDENTIFIED DEPOSIT IS APPLIFE) TOWARDS THE TOTAL FILE REVIEW FEE <br /> CHARGE. TIIF RAI,ANCE OFTim. CHARGES ARE DUE AND PAYABLE PRIOR TO REVIEWING .THE <br /> - DOCUMENT(S), <br /> 5. PUBLIC FILL S/RECORDS NOT RETURNED IN WE SAME CONDITION AS RECEIVED WILL BE <br /> CORRECTED BY T1IE EI1D STAFF AT THE EXPENSE OF TIAs' APPLICANT. THIS ADDITIONAL <br /> SERVICE WILL, BE BILLED TO'11-10 APPLICANT FOR PAYMENT. <br /> =� •[may_ 6. ORIGINAL. PUBLIC FILES/RKORDS SHALL NO'T BE REMOVED FROM THE EHD PREMISES. <br /> SIGNATURE or nrrLtcnNT( -� .,��F: „��' �., DATE <br /> SIGNATURE DATE RELEASING ASINC; OFFi('IAL DATE <br /> T'I1 00 14 (RI--V 12192) <br /> ^. im1'J w• .. <br />