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to 1 PHONE NdO. = 209 369 4228 _ Feb. 09 2000 09: OSAM P2 <br />.SANIPAQUIN COUNTYPUBLIC HEAITH'SERVICES `"o`vcNowoc� <br />ENVIPIONMEWAL HEALTH DIV,S,GN Q D - O 30 <br />304 EAS'r WEBER AVENUE. THIRD FLOOR <br />STOC"CIN CA DS202 <br />420) 468- <br />00000000 PU5LiC RECORDS RIE 3EASE APPLICATION <br />r APO Lr -AI T <br />pHOkf <br />FAC,NM x �illi� 7 P' <br />TENTATIVE• APPO(mrMENr CAT& <br />(Ft— give 7 to torn <br />trustn�r dry* from Cees as a �� <br />PptwtFoee awbrsrrtraly i <br />C}iECK f30X YO EXPAI?ITE R>rt;143f�ST - Sta.tTt7 Fi�� _ ��,Rt1EfS�T�,�+-R�dC>w35€01N 3 8U.&Wf.3S 4AYS <br />SlGlr3AT11RE OF APPLICANT OATr <br />�X-VNQERQRQ0Mb TANK MT) CLlCAM p !qfM (I.W) Li HOUSING AMT,!MENT 10 SOF.ID WASIE FAC UTY <br />Lit '0TM 0LFj UP WM (Not -L0P) a Boon FA1:1L1TY 0 SOLM V11"' G VFI41= F E B <br />V( UMMROROUND TANK {1FWU70tLyHcitOMOVA14 C ❑OG F€ietFt D WUR11 <br /><IiAZARC*t4WAZrMGffl49PrAT0R U CH93CE !RANCH 13 PKQTFMATM NT PLANT <br />C `nWtF'_O P%fiJARTUD FAMU Y 13 M0TMt1HOTEt 0 PUWER'f']illiMARWCHEM TOILETS <br />II 'rAITOOWDY PGWING C POOLISPA 13 LArai33 USE APFLICATAN SrMS <br />M VLOCALW"Tt rAC LUY a P UMLIC WATER SYST04 13 QTWR (PLEM19 SPECIFY ABOVE) <br />1. Ust tip t0 ton middreexsss in the space above. SeitFtet the type(a) of flies from the list above by checking <br />the appropriate bax(os). At least Oreo fila type MUST be selected- Fi!?�1� {�D9�4�4-0 38 armzli sr, thr <br />.nslSff���3�nf�1 abyY� <br />2, END will notify titer applicant if any EHO riles Wdtct. An appointment for revlaw wQI da confirmed <br />aPPmxtmately five buslnoss days but no miter than tan (10) !lays after mcipt of application. Thi files <br />Wilt b9 hold for a maximum of five bu3ine" days fOr WOW. AppoirltlriWts ahot4d be Scheduled <br />d <br />accordingly_ <br />3. A file that is actively belreg wcwkad on by EHQ st$fff may not be 4=e4ately available tar r viaw. A new <br />aPPIIcM4. Any f4t� t muumed In th* Calms condition an reie4sed will be Teo <br />of 11110 eppilaatnL Futuna file reviews b litre sauna 'Bentz $ by 0 d staff p the expense <br />Y �plicareL may e"t3geitrG a 5T8.e�0 deposit prior to revPew_ <br />5. 'T'ENTATIVE aPpoi trnont dates must be conflemed with END staff. <br />G. Applications reecef%-ed BfGer 3x00 pix► will be processed the next business [tar. <br />CONFIRMED APPOINTMENT DATE _ _ TIME <br />OATS CONFIRMED <br />P140HE FAX INiFT AUS <br />RF <br />VILWED YES NO REVIEW BATE <br />14 <br />TOTAL P. f31 <br />'ETES <br />10 2000 <br />