Laserfiche WebLink
0 �^" <br /> i ii-16—2gp5 11 aaHr� �F GI 1 TO S d I E;788 7 550 F"-02 <br /> LJi UU 14 (REV 5/94) SAN JOAQUIN CUUNTY <br /> PUBLIC IIEALTII BERVI S <br /> EN'N11 0NMFIVT A,L 11LALT11 I)mSIUN <br /> PUBLIC RECORDS RELEASE APPLICATION <br /> APPLICAN-r Ir k= .r1-IONE NO_yh5—SI 2.-S70U)Qa33G <br /> ADD S_3,-L <br /> ADDRESS <br /> I~>L DRp„ LEAD AGENCY 12fiL <br /> THIS WME 15 SUBJECT TO 'rmE REQUIREMENTS IDENTIFIED IN THE PUBLIC 14RAI TH <br /> SURVICES18NVIRONMENTAL 4-ALTH D(VISIDN(BIID)POLICY#94-007, ORDINANCTI COT1B OT SAN <br /> JOAQUIN COUNTY, END FEES AND SERVict~ CHARGE RESOLUTIONS, 5'f ATI3 ur,trBR COM, <br /> GOvtRNMENT CODE AND T149 BVIDBNCB CODE. <br /> 1. A MAXIMUM CW 18N (I0) PREMI911 ADORMEs PER REQUEST. <br /> 2. PUBLIC PILESIRECORDS REVIBw 19 BY AMINTMEN'r ON ,Y. APPOMMIwTs ARE ARRANGga;1Y <br /> CALLING (209)468-0340. OMCB HOURS FOR APPOINMr.NTS ARI; SCIIEDULED MOM"Av TIMU FRIDAY <br /> EXCLUDING HOLIDAYS, 8:00 AM TO I2:OD N(YON AND 1:00 PM To 4:30 Pm, <br /> 3. A Pusuc Rsconvs RMRAS8 APPLICArloN ()'RRA) is Rgpwmw. <br /> 't. PUBUC PILPSIRECORDS NOT RMURNL1Ll IN THE 6AmB cor jajoN As REclalvrD WILL BE CokRhc--Iuv <br /> MY 'MC F11 STAFF AT -rim rxpnN9Q OF THP APPLICANT. TFIm ADQITIONALsimviCE WILL NQ HILLED TCP THE. <br /> APPLICANT FOR PAYMPNr, (SKU EMD PIDUCY 94-007) <br /> S. ORMINAL.PUntir RII„E)S/RFCOA D3 911ALL NOT as ttt3MovED r-Roni T1tIt BHV PttL'MtShm. <br /> SIGNATURE OV APPUCAN'f _ E w DATE _-/P/Z. <br /> SiONATURB OF RLLEIISING OFFICIAL. <br /> DATL <br /> NO <br /> !I,'eHn PIS/RI HD RECO/RI'tLS/Fq IRI_nTnq�nAaR■An 5RNT1~!g.p; <br /> oDNvnncp6nm DAM <br /> P-XtsT ON TNG AADlE±S(E )N7TF . Y <br /> tI>t 1iuG' t4— <br /> ) YED W1 $NCllsAa55 �LAZ0" / r,6 AREAIMAULE <br /> FOR ittdViEw: <br /> bnfti, RMMwO 1w Ih]lll.e.,x., <br />