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10-01-1993 11!08AM FRCrq TO 15102951823 P.02 <br /> SAN JOAQUIN COLIMY <br /> PMLIC HEALTH SERVICES <br /> ENMONNIENTAL 13 ALTS DrMION <br /> PUBLIC RECORDS RELEASE APP'LICAT'ION <br /> APPUCANT / vi PFI Ns No Sti) 2 q,5 <br /> ADDRESS 77 /c /�„• r r N� � '�© o CA Qy6 <br /> ACMXCY trams PHONE Na <br /> AJUL)P ss <br /> FJLH ADDRESS LEAD AC3MU DATE <br /> Liv: 4►�t. LnT�,ra 5rrp4 s <br /> lb 777 .rr�/��f <br /> C S Loci Ic �-a <br /> WeiT' emnwr d/'o (7ttcCn q yLeo A re <br /> PAY-MENT <br /> I IEBLF <br /> SOV <br /> TRIS NOTTCS Is 3UMECT TO MM RPQUUU04MT0 ID ft5dwQKN <br /> iaLTH <br /> s&EtVICSQ�. NVIILON, ATI'AL�IEAI.TH DIYISI07V(�)POLICY#�2 <br /> JOAQUIN COUNTY. WM FM AND S$RVICS ClIMMB R&9 . WATBIL CODE. <br /> GOVM NMSNT CODE AND TEW EVWBNCB CODE. <br /> i. A U-4-NIMUM OF TENT(10)PREMIss ADDRESSES P8R REQUEST”. <br /> Z. PVBUC FILE&%ECORDS RIMEW ARE BY APPODnUMM AIS <br /> ARRANGED BY CALLING PM*"340. OFFICE AOURS FOR APPOINTMENTS AIE SCRED(JLRD <br /> MONDAY TRRU FRIDAY EXCLUDING HOLIDAYS,E:00 A.M. TO 12:00 NOON AND 1:00 P.M.TO 430 <br /> P.M. <br /> 3. A PUBLIC RECORDS Rffi EMg APP11CATION AND A NON-RSFTTNDAgr.0 DEPOSIT OF S7a.00r,. <br /> IS REQUMM- D8POWTS WIM B8 RSIURNED TO THE APPUCANT IF THR PIIZN"CORD9 AILS <br /> NOT AVAQ.ABIX WnHN TIM CUSTODY OF THE END. <br /> 4. THE ABOVE IDS DBPOSTT IS APPLIffi) TOWARDS THE TOTAL FIL1q REVIEW PM <br /> CHARGE. THE BALANCE OF nM CHMOES ARE DUE AND PAYABLE p$QR TO REVIEWING Tfm , <br /> DOCLIMMMS). <br /> S. P[TMC FUXS1RECORUS NUT RET UMED IN THE SAME CONDITION AS RBCMVED WILL,IM <br /> CORRECTED BY THS PW STAFF AT THB EXT'F2+iSE OF TETE APPLICANT: THIS ADDITIONAL . <br /> SRRVICE WILL BE BIT J PD TO THE APPLICANT POR 1'AYMon. <br /> 4• oRIOINAL VUBUC PILBR/R$CURDS SHAD.NOT BE RE AOV$D FROM TIM IRD MWS2S <br /> SIGNATVRB OF APPUCANT DATE <br /> SIGNATURE OF RSL$A$W(;OFFICIAL DATE <br /> BH 00 14 Qmv izv2) <br /> TOTAL P.02 <br /> t <br />