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AN joAQUIN COTY u <br /> PUBLIC HF.ALni SERVICES <br /> EIrTV ii()I�"I'AL HE�.TII DI'VISI4N <br /> PUBLIC Xj:i Iq DS RELEASE "PLILCA'I ION <br /> `A,i'ri iCAN'r NQ <br /> ADDRESS mom N4 <br /> AGENCY Ale, - <br /> ADDRESS <br /> 1 <br /> BLE AD. I7 I,F�D AF�NY DAIM <br /> Lo <br /> lTIi1S NOTICF. I5 SUBJECT TO T1IE REQUIREMENTS 1DENTII=IED IN TE HPUI3l3C IIEALTII <br /> i•SERVICESIENVIRONMENTAL 14EALTII DIVISION (EI-10)V013CY#92-007,ORDINANCE CODE OF SAN <br /> j�3OAQUIId COUNTY- M40I EES AND SERVICE CIIARC3E RESOL1JTIONS. STATE WATER CODE. <br /> GOVERNMENT CDD.H AND THE 6VIDENCEI CODE. <br /> 1. A MAXIMUM OF TEN (10) PREMISIi A"DRESSES PER REQUEST. �. <br /> PUBLJC: I-ILES/RECORDS:REVIEW A01- HY APPOINTMENT ONLY. APPOINTMENTS ARE <br /> ARRANGED 1;}' CAi1.3NG (209)468-03'10. OFFICE IIOURS FOR APPOIN I-MEN'S ARE SCHEDULED <br /> i,MONDAY'IHRLI FRIDAY "CLJI)ING IIOLJDA7S, 6:00 A.M. TO 12:00 NOON AND 1:00 I'-M. TO 4:30 <br /> '1. A PtjRI..I(7 RFCOR.I-iS RELEASE APPLtCATt-1ON ANI}A NOttIz9h'UNDAHLE DEPOSIT OF S7R.00 <br /> IS REQUIRED. L)EKISITS WIt.L..RE RFIURNED TO THE APP JCANT IF THE I;II1iS/Rl3CORDS ARE <br /> NOT AVAILABLE VViEfiIN THE€CUS M)Y 01?11ILG <br /> q ;};l; AFt()VI~ IDENTIFIED DEPOSIT IS.APPIJED TOWARDS THE 1,0TA1., I=1I,E REVIEW FEE <br /> CHARGE. THE BALANCE OF;THE CHARGES AK1 DUE ANDPAYABLER () 1'C3 REVIEWING THE <br /> DOCUMENT(S). <br /> 5- PIIBUC I�ILFS/AECCyRUS NOT RFTI1RNF_D IN THE SAME CONDFnON AS RECEIVED WILL BE <br /> CORRE?C FD BY THE EI#D STA".AT THE EXPENSE OF THE APPLICANT'. 'I-WS AUUiT10NAE. <br /> ii SERVICE WILL. BE BILLED TO THE APPLICANT FOR PAYMENT, <br /> &. ORIGINALPUBEIC E+IL.6SIRHCORDS SHALL NOT BERP-MOVEDI�I ot.1 ,mr-Em ORIGINAL PREEMISf - <br /> . i <br /> SIGNATURE OF APPLIrANT /:7r��� T �/ � I]ATI: <br /> SIONATI'URE OP RPLEASING OFMCIAI_ DATIs <br /> IN 00 14(HEV 12192) <br />