Laserfiche WebLink
FF.1=1P9 : NIDA Erivircnrnent•al PHONE HID. : 209 36-9 42c;- -lar. 16 2200 10:05Prl P1 <br /> 5A. i0AQU1N COUNTYPUBLIC HCALTH SERVICE3 440 Lcx.f"NDER vJ <br /> ENVIRONMENTAL HEALTH DIVISION <br /> 304 EAST WEBER AVENUE,THIRD FLOC?R <br /> STOCK ON CA sm= � •► <br /> PUBLIC RECORDS '3a <br /> RE �o <br /> LEASE APPLICATION <br /> Ap1'LICaNr�' <br /> A,DD1�S5 ��. �. �Ll`J�Tj}r-�~SUEtttf,Sg;A�1CT��,h-��• �Y` Yet ,��rlr-� �,_-� - <br /> FACSIaacLZ 4 2Z <br /> TEM'AT1VL-AppLgjNTMENT QATE <br /> (P t .sa ghn 7 to 10 btlil ,Trvm tbb Q TT" spy <br /> �7 7 +>�isaaforr sulltnftial) �� � ww// <br /> u CHECK BOX TO EXpEQL"t'E REQUE3T.57x.00 F"_KEQAI¢_SF <br /> SIGNATURE OF APPUCAN'T BtaD iN 7 sUSINi?SS nAYs " <br /> l{ DATE :51Ifyr0let <br /> UyN 4n vti •; rf/1 M <br /> 3 1. .4 <br /> zz� 0c Q <br /> 0, <br /> ENVIRONMENTAL HEALTH DIVISION FILES <br /> UN"RD RCIAM TANK JUS11 CL2P 311%("IPI ❑ 40=140 ABATE <br /> MENT�R CLEA};i1P arm(NOR-Lop}, ❑ 901D <br /> WASTE FAGi1{DiRGR4J1@ TANK(mmyrOMOMMSOVAL4 OQOAGLT <br /> t3I� q amm wAm vr."14AZAR00g WAIITE GIMERATOR �NFL a DAIRY F�ICrED XAcwrr 0 13PK*TREATUeXt P <br /> LATWQ TATroopacay Pmwo � v PMVStTRUQVVAR01Yt <br /> 3 <br /> M TBA->;SR UMCAL WASTE FACXnY <br /> C1 00 PfC WA7�.R SY5 ` LANU USE APFL.iCATK?N grrES <br /> Tr;N ❑ OTW-R{PLEAS!C"C1Fy AjSgVE) <br /> 1. List Lip to fen acldr;ottas in the�psca above. Saiact the tyWs)of tiles from the list above by checking <br /> the appropriate b4x(as)_ At lend Ona file tYPQ MUST be seleoted. Fax tb f2 4 <br /> �51�}ndimtecl abo.,p - ) fi4.41�$3L#.►�3.8..I�� <br /> 2 EHD will notify the appAl ant 11 any EKE)files exist An <br /> aPFroximately five buslnle s d {p In ant for rovFaw wilt be eoaffrmed <br /> w1A be hold for a maximum of five business tts I teat 1t1) da after rOCeiPt.Of a;3licatinn. The flies <br /> ar c=Ungly, days for rov}taw. Altpolcttments should be scheduled <br /> 3. A file that Is>sctive[y being worked can try CHU ststf may not tis ImmaflatOly available for"W16%V. Ar►ew <br /> apP'k=tion=Y he aut�tn}tted when the flirt is 8vatiably. <br /> 4� Any file not returned In the same cnrtdWon as rslyased wail ba <br /> 5. of tbO eppiicaM Future file tavieWs by lite Same sppligmi to raarOstal=ad by el w smft at the oxPenHe <br /> 'TENTA 1 iVE appoiritm4rtt d8taa must be Gonffrrned PiVornta t Ul y re Lure a$78.00 dtpoait Prior to rtawlawr- <br /> s Applir4tlori$recurved after 3.00 <br /> pnz will!t prOceaaseCi tF.y next bLtsisrass daY. <br /> CONFIRMED AF?0j TMFl yr DATE <br /> 'iliNE <br /> OAT;cpNFiRMIe*p PHONE FAX INITIAL$ <br /> tZEYtE11YED YES NO ' <br /> ^4 , Ri:ViEW Dl4T$ ` <br /> TOTFL P.01 <br /> MAR 30 2000 <br />