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I'R'Mt-1C-1 JJU Vl•G� � M <br /> ER 00 14 (REV 5/941 SAN 10AQUIlY COUNTY <br /> PUBLIC IIEALTTl SERVTCF_S r1 /L' e�Ji euJ { <br /> Fr` NMONMENTAL IIP-A.LTH DLVISLON <br /> PUBLIC RECORDS RFT VASE AiTtICATIOff q 6 os <br /> APPLLT_,112n11P r C lkinL Xtm, PHONE NO U) 820 522-4 <br /> 4DDRESS 1 <br /> AG"rSiCY NAME Pf30NE N g 7�j j <br /> sv�_Inn 4US <br /> f4Z-c SJtzs 1/7 sit/o ri — <br /> r z AI7DRFSS LEAD AGENCY DAT-r- <br /> /J,.3</ fin7p.. rise _,.Shin <br /> J4re-� <br /> 38'O"� �10'mnlhdo /g l;vilf�a <br /> I <br /> Lei i F'! .0✓na!r�s� , • ,�E <br /> I <br /> TRIS NO-RCE IS SUBJECT TO THE REQUIREMENTS IDENTIFIED IN T14B PVUUC HEALTH <br /> SZRVICMVEf RONMENTAL HEALTR AIVTMON (EHUI POLICY#94-007, ORDINANCE- CODE OF SAN <br /> JOAQUIN COUNTY. EHD FEES AND SERVICE CHARGE RESOLIMCNS, STAN WATER CODE. <br /> GOVERNhICE;`IT CODE AND 713E RVMENCE CODE. <br /> I. A MAXIMUM OF 704 (19) FREM= ADV$(2=G3 PF71 XKUETr- <br /> 1 <br /> Z. P4aLac MTL RECORDS REVIEW R Sr APPCENTMF_+•+T_ ONLY- APPcOwTMF.1 TS ARE ARRAzfGM>>n <br /> GALLING I (204)463-4340_ CALKS IIDURs FOR ApmwTmarnrj Aar scnimuuD MONDAY T Mu FRWAT <br /> E.YCLtjvTG HOL1DAY5, 3:40 Am ro /ZOO Noon Amo 1:00 mw TO 4:30 FN. <br /> (Zo9hffit 3'/L 4�vNv/31 <br /> 7. A Puauc Rsc =v RssAss AFbucATmr4 (PARA) Is ■awmeD- <br /> I <br /> 4. uc FILESMECORDS mar xerviumo; Tas 3^ms comorr:oAs xecsvED wmL m cORRECTPA <br /> dY THE SD mi m STAFF AT THE E(YENSE OF TRE APPLir-i . THu ADDRIONAL SERVICE a'ILL 9E 3n M rU THS <br /> AFFL'CAt4TrM FAYNBNT- (S8a EM POL.CY 94-04i) <br /> 5- <br /> 0411awAL Puauc RLES/RECORDS sHAu mOT 9E xe4ovEv FROM THS EHD Pamwzm. <br /> I _ _ <br /> 57CNATURE OF APP13 DAin 3 /off 5 <br /> I <br /> SICNATUI EOF.RELEASING OFFICIAL DATE <br /> No MSJEHD RECORUSiFu.w ARE rogKrlmm: <br /> PHSIE3aD RECOPEDSIFILE3 EICIST ON TIM AMMESS(23) NarW_ YOU WILL SS NOTMM wsE1 <br /> RECORDSIFIL&S AMC AVAJL48U FOR REYW"' 1 <br /> nv.e am...s m +wn•ana.w.t <br /> TQTF.L P.71 <br /> TOTAL P.01 <br />