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09/27/2005 23:29 8639180 i RHINO REALTY 0 PAGE 01 <br /> 09/28/2005 09:51 4640138 ENVIRONMENTAL HEALTH 1 <br /> PAGE 0„ <br /> DD SAN aOA QtJM COUNTY <br /> . ENVII,ONMNTAL ITBAT1'I'a DEPARTMNT <br /> SEP 2' 344 fast Wet=Averxaus,3"Moon,Stockton,CA 95202"2708 <br /> velephoves(209)469-3420 Fxx:(209)4640138 Web:wwW.sjgov.orghd <br /> AVIENT <br /> Er ,PERMIT/SERVICES - UBLIC 13ECORDREL14SEARMCATION <br /> APPUDAW-1 BuS11iE?MmENCY: <br /> ADDRESS: a <br /> PHONE(ix PHONE(21: ��7'-(_D 3 7��PACSINIttS: D - 4 <br /> TENTATiYE*APPOR WT DATE, Time: <br /> (Please igow to business days i;;dated&WOW10n sUNT-fl tel-'Tenft&V udx-Wigbe aaalint; e <br /> E3 CH9M BOK TO STEDrM REQWST-$33M FM(CASH OR CHECK OM.Y)-REQUEST PROMSSW IN!StISIMS4 DAYS <br /> 1GRATURE OF APPLICANT DATE <br /> Ak <br /> urar ws�Tesvtlatt o u{at t z uc s U10 A a untt ucitt a other(eleceror,t�s) <br /> FI E ADARESS MM USE ONLY <br /> 8An"ek� Slr+aet Nanta <br /> ,. 4.q <br /> 9. <br /> COPY <br /> '$pedfic 0*Rang©of'infonnat on RequoM4'Ftam r - to —..—�— <br /> EnRONMEN AL HEALTH DWARTMENT FILES <br /> Ow"sfsE(No"-Lop) } v Hai W APAmma sow <br /> FCQOFATRTPQ <br /> W�ts�z Fu rrrN� s <br /> Fi= ).4 <br /> Mpp�d{�ip TN{K(1MoNKtpRt110t4�iOYA1.� ❑000 K81ltEl. Q YVPSTE1KAtFR TILT Pt�u+s � �I <br /> DAW <br /> FWAMG9MrAT0It C C"DOM R l d TARlCIU1fAFdOFR'M TOR�9 <br /> ERMI M rAC rrT o 1leSTWROT& <br /> sorsry�t]8e APPL�cA7t Stun <br /> •Q tsOOCI^sPA <br /> TM�b�oAtlflr�aFAcatzY 1�OTF1FRtPI�/eIESPY) • <br /> W At+e Std ttC P�euar REo4ltOS At'ELVA P4R REYIE�AI• �eeesAYFst+c�AY d;0a N+�-'�aP� aDAra.. <br /> 1. List up to ten addresses In the apace above. Wed the tA*S)of rtes from the Gst above by cltec1409 the <br /> appropriate boges). lot least on*file type mUs i'be skieatad. ��zA;'t�1��o�mail to the address <br /> i to bov0- Address ranges Witt nGt be accelrted M for addlt,Onai AC&L'Ullce with file addresses,001 tcx <br /> the EHD,App ejGonc reoelved after 3:00 pm will be Processed the next business day-' <br /> 2 The EHD will notify the applicant H any EMD filen exist. An appointment for revlQw will be confirmed <br /> jpproximatety ten(W)days after MOW of 4pplicat10n. The files Will be held for a maximum of five business <br /> dabs for review. Appolntahents should be scheduled accordingly, <br /> 3. A file(het is activety being woftd on by WD staff MO not be Immediately avatZable for review. A tt�w <br /> application may be submitted when the file lb available. <br /> 4. Any file not returned in the same condition as refeatsQd wai be reorganind by Etta staff at the expense of the <br /> • applicant. Future file reviews by the same applicant may require a$93,00 deposl.pdor to review, . <br />