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- (J1ZJ.!—L7uu Er•.111 rr I tea I — <br /> Ea oa M (RCV sisw, smv 3vAQuIIv cavNtY <br /> I� ruk IC IMAJUM SERVICES <br /> I EN ONMENTAL HEALTH VMS.101q. Z <br /> v rf1IfLIC RECORDS REryAsE AFPIAC,ATx()N <br /> A.P 'LICANT PHONE Nt�g���-z�oa— <br /> AWRESS <br /> AGENCY NAME PHONE NO <br /> ADDRESS <br /> BLE ADDRESS <br /> I <br /> .3 j• arc; ,S-4"•-•°"-a...r ' <br /> <=> i 5. T q35 .3 o `� t <br /> � � - �3S• 3� p�w�e-�. .0 7 <br /> ST 0 <br /> i! <br /> I! <br /> r THIS tiornas IS SUBJECT 1'0 T141E RR <br /> SERVLCESJENV oIVMENTAL HEALTH bIVMON(EHj))1' Ucy#%WW.ORDINANCE CODE OF SAN' <br /> IOAQUIN COUNTY, ENI? TEES AND SMVICS CHARGE.ROOLUTIONS. STATE WATER CODE, <br /> GOVERNMEW COD13 ANO THE IMDENCB CODE. <br /> li <br /> q <br /> 1. A MAXIMUM Op TW(10)MEM1319 ADiDROMIM IM:RMUES'_ <br /> Z_ PU$LIc RjE&f"CDRDS RUtEw.Is BY APIrOIIIIMI I S AM ARRANGED S2 <br /> CALI_IHO ('20"84340- ': 0"4" »onus APIVIN'FR(SNTS ARS =JIEDULED MONDAT •TIIRU PRIVAir <br /> EXCLUb114Cj I4o1.1DAxS, $:011 AM to [200 NOON AND 1:00 rM To 4:30 rte. <br /> 3. !' :,; A pugtx-I€fmitos kw-ams hPPUCA1171110tt (PRRA) Is REQUIRED.: <br /> 4. �� PUBLIC FILEVRECORDS t4Crr RBiURNED IN TIM SAPAS CONDrlr" AS RBCENED WILL BE CORAWT90 <br /> $7*fib SHD SrAPP Av-me lsxr»s OF 2116 AP LtcANT. Tun AbmMNAL SOMMS wILL BS BILLUD 1.0 Till <br /> ArPLICARr Volt PATMWr. (SG6 MWI'b#JCIr -UO1) , <br /> ' ORIGINAL PUN-IC 1-1LE&RECORDS SHALL NOT W ItEwOvSD FROtA-tim END rREM'sm- <br /> SIGNATIIR6 OF APPLICANT DATE <br /> j <br /> �4 DATE <br /> SIONATURS OF RELEASING OITICIAL <br /> i <br /> • k <br /> No PHSIEHO RsaoRDsll Lag Alt#tDOMPIBbs <br /> ixair <br /> ,PNSIEHD Riamnow7t o>I mr W=9 ADbRM(I3),NafBD. YOU 'V4'>sLl.IlR NOInnE 7 WHIR4 <br /> RixonoS/FiLas AR$AvAn.Am-a Foil=719W: <br /> 34 <br /> TOTAL P.0t3 <br /> ✓W`L� ! N <br /> f <br /> r <br />