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09/11/.20® 14;48 20946894.',4 FIFTH FLOOR PAGE 131 <br /> D ((��Uf� <br /> ["E ENED <br /> SA$ �70AQUIN COUNTY <br /> &'�y PVnLIC HEALTH SERVICES SEP 1 2 2002 <br /> ENVIRONMENTAL" HEALTH DIVISION <br /> ,;. PUBLIC ."CORD$:"LE SH AP PI,TGATY4N ENVIRONMENT HEALTH' <br /> - . P�R IT/SERVICES <br /> APPLICANT a 51 if PHONE N0 J30-�76-�0� _ <br /> ADDRES:3 J 3t? < lot. 5r' k °f <br /> -AG ENCY'.NAME PHONE NO <br /> ADDRESS ® . <br /> 4rxe�r*•���;.*w##t##••A•w#��deytir x qt,r @*•t•�dt•t###�r�•k •��r* <br /> -� <br /> FULL I�DRRSS 3 I I,SS NAME/ PPBOGRAM OR. <br /> - FACT L=Y : TYPE OF _PILE <br /> v I�t�(►t 5ouL�ncol Seed 5 �n <br /> QM6 Qk_ -10 <br /> V N rV <br /> iq LILov �t►cM § < <� <br /> v v wept w s a� <br /> THIS NQTICE k3 SUBIEL"'T TO THE RKLUIRE.M TS fIaEN'i`IAEp IN THE Pl16LiG HEALTH <br /> SERVICES/ENVIRONMENTAL HEALTH DIVISION iEH01:POUCY 194.007, ORDINANCE CODE PF <br /> SAN JOAl1UIN COUNTY, ENO FEE AND SERVICE CHARGE RESOLUTIONS, STATE WATER CODE. <br /> GOVERNMENT CODE.AND THE EVIDENCE CODE: <br /> 1. A MAXIMUM OF ZEN L101 PREMISE ADDRESSES PER REQUEST <br /> 2 PUBLIC;PLES1RECOROS REVIEW IS BY ApEgjNIb9 <br /> TENT O�1LY'. APPOINTMENTS ARE PROCESS <br /> ED BY CALLING 12091468-3420. OFFICE HOURS FOR APPOINTMWTS ARE SCHEDULER MONDAY <br /> 'THRU FRIDAY EXCLUDING HOLIDAYS, 8;00 AM TO 12:44 NOON AND 7:00 TO 4.30 PM, <br /> 3. A PU¢UC FILESIRECORDS.RELEASE APPLICATION IPFtRA' IS REQUIRED. <br /> 4."F'UBLI4 EiLESIRECORDS NOT.RETURAIED IN.THE SANTE CONDITION AS RECEIVED WILL 8F. <br /> CURRECf_tD BY THE END STAFF AT THE EXPENSE OF THE APPLICANT.- THIS ADDITIONAL <br /> SERVICE 1�111U BE.BILLED TO THE APPLICANT FOR PAYMENT. ISEE END POLICY 84-OOT} <br /> � ; . <br /> S.. OftIG( PUBLIC: FILES/RECORDS SHALL NOT 6E REMOVED FROM THE EHD PREMISES. <br /> - aw®wwals�w.♦rew mr•ssesa•ra •y ♦e e •®'s wsets®w+s"e.r..►e•®.w�se,®s�+•..♦s..®+.•+rw <br /> SIGNATURE OPS APPLICANT�� V+,., _e�DATE l"/zD <br /> X.. <br /> SIGNATURE OF.RI-LEASING OFFICIAL DATE <br /> EH 00 14 REV 9/96? <br /> Z0/Z0 `39dd dIIdO ON snivNis 90099L90ES 45:L0 Z00Z/ZZ/60 <br />