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op= <br /> Environmental Health Department <br /> s SAUewOAUUNAvo 0 ^ 2016 <br /> L| ECORDSRELEASE APPLICATION <br /> --COUNTY1AL LW`1334 <br /> __ ruo ` <br /> PEMMITAS'.f7;t%fEgj IT 11L j&,2 AA EHD LOG NLIIVIBER:�3q2fos <br /> APPLICANT: Justin Bauer BUO|NESS/A/3EmCY:rm°afEnvironmental <br /> ADDRESS: 21u1West Chandler Boulevard,Suite mn C(TY/STATE/Z|P:Chandler,*Zu52c <br /> PHONE (1): 480-8/0-0575 PHONE (u): FAX ORE'MA|L <br /> Please allow 10 business days from date of application submittal for the records to be available. <br /> Staff will contact you to arrange an appointment date and time to review the requested records. <br /> SIGNATURE OF APPLICANT Justin Bauer .� `� - � DATE <br />