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05/13/89 THU 15,32_ F4i <br /> 99-121 <br /> SAN JOAQUIN COUMn <br /> fP[7SLIC HEALTH SF-XvICBS <br /> f ENV:[RO MENTAL HEALTH DIVISION <br /> pMy,TC RSCQRDS RELEASE A,PPLICATXON <br /> A"PPLICAM - <br /> ADMES'i PHO" Na <br /> AGE�CYNAME <br /> ADD&E5 <br /> #k3yr�r#���tfw�*t�tirf�YY*f#tw*it+Mkt-k#i�####,t#� Fara.f�rt�yrlrttvrf�#'�t,lr�klr�lr <br /> 1 <br /> FULL "PA13211 SUS 1VESi8 NAME P1t0[3 fl"> OR <br /> PACTsi, TYPE OE ME <br /> 011.0 V LA ±0 .. <br /> t*iklrtrir�#tirrrr�rf4f,t�lylr#w#*:x�t-r*�#wane#�**dr�r,t*t;#�*w#til#Arw�#+ryr�r*#ke#it <br /> 4 <br /> THIS:NO"1ICE IS SU8 JECT TO THE REQUIRlEmENTs IDENTIFIED IN THE PUBLIC HEALTH <br /> SERVICE 1EN%(IRONMENTAL HEALTH DIVISION (END► POI_ECY 094-007, ORDINANCE CODE OF <br /> SANUO U14 COUNTY, EHD FEE AND SERVICE CHARGE RESOLUTION STATS WATER CODE, <br /> GOVORN EMT C009.AND THE EVIDENCE C00e. <br /> 1. A MAKIMUM OF TEM JUD PREMISE ADDRESSIES PER REQUEST <br /> 2. PUBLI FILESMECOfID5 #REVIEW IS BY A"43INTMENT 0 . APPOINTMENTS ARE PROCESS- <br /> ED BY CTLING (WO"W 4420_ OFFICE HOURS FOR APPOINTMEWM ARE SCHEDULED MONDAY <br /> Ti•iRU FAIIDAY EXCLUDING HOLIDAYS, 8:00 AM TO 12:40 NEON-AN13•1400TO 4.130 PM._.._ <br /> 3. A PUBLIC FILESIRIECORDS RELEASE APPLICATION (PRRA1 IS RE131LARED. <br /> 4. PUBLIP FILESiRECORDS NOT RETURNED IN THE SAME CaIVDMON AS RECEIVED WILL. gE <br /> CORRECIED BY THE EKD STAFF AT THE EXPENSE OF THE APPLICANT- THIS ADDITIONAL <br /> suiv1C£ WILL BE FILLED TO-1149 APPLICANT FOR PAymrtNT. (SEE E E) POLICY 94-007) <br /> 5- O RIG! AL PUBLIC FlR-ESjRE-CORDS.SHAU-NOT BE REMOVED F"ONITHE I:H13 pqEMISES- <br /> ss7lFy i+•++ Mti*f4aF44aFYt# ♦#�Mri i�sa;�IaYMTrwsi Fail+taF+• <br /> SIGNATURE OF APPLICANT <br /> SIGNATURE OF RELEASING OFFICIAL_ DATE <br /> EH-00 14 IREV sm) - <br /> T]TRL P.02 <br />